NPIMap

Organization Active NPI

Detroit Spine & Wellness PC

  • Chiropractor
  • Detroit, MI
National Provider Identifier
1851061931
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DETROIT SPINE & WELLNESS PC
Practice address
16323 W Warren Ave
Detroit, MI 48228-3702
Phone
(313) 645-0930
NPI assigned
Sep 20, 2021
Last updated
Oct 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ferras DassoukiNPI 1790391860
Title
Owner
Phone
(313) 645-0930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

16323 W Warren Ave
Detroit, MI 48228-3702

Mailing address

1126 Hunter CT
Milford, MI 48381-3180

National Provider Directory

National Provider Directory

Locations

16323 W Warren Ave
Detroit, MI 48228
Phone (313) 645-0930

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1851061931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 HUNTER CT",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483813180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16323 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283702",
            "telephone_number": "313-645-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT SPINE & WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "DASSOUKI",
        "authorized_official_first_name": "FERRAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-645-0930"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.