Organization Active NPI

Chiropractic First of Michigan PLLC

  • Chiropractor
  • Eastpointe, MI
National Provider Identifier
1861086274
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROPRACTIC FIRST OF MICHIGAN PLLC
Practice address
15700 E 9 Mile Rd
Eastpointe, MI 48021-3905
Phone
(586) 772-7770
Fax
(586) 776-3250
NPI assigned
Feb 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Authorized official

Name
Dr. Adam Ryan Miller, DCNPI 1124319728
Title
Ceo
Phone
(586) 482-8354

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

15700 E 9 Mile Rd
Eastpointe, MI 48021-3905

Mailing address

15700 E 9 Mile Rd
Eastpointe, MI 48021-3905
Phone (586) 772-7770

Other identifiers 2

IdentifierTypeStateIssuer
2301009815OtherMILICENSE
1124319728OtherNPI TYPE 1

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210330002282 MI Part B Supplier - Clinic/Group Practice 5597172023 Receives reassigned benefits from 1 practitioner
Practice locations: Eastpointe, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1861086274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15700 E 9 MILE RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213905",
            "telephone_number": "586-772-7770",
            "fax_number": "586-776-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15700 E 9 MILE RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213905",
            "telephone_number": "586-772-7770",
            "fax_number": "586-776-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC FIRST OF MICHIGAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-482-8354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2301009815",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1124319728",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.