Organization Active NPI

Chiropractic Center of Oak Park LLC

  • Chiropractor
  • Oak Park, MI
National Provider Identifier
1861746646
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROPRACTIC CENTER OF OAK PARK LLC
Practice address
10450 W 9 Mile Rd
Suite a
Oak Park, MI 48237-2914
Phone
(248) 291-6360
Fax
(248) 291-6453
NPI assigned
Nov 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

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

Authorized official

Name
Mrs. Candice Amanda Kayal
Title
Biller
Phone
(313) 563-3220

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

10450 W 9 Mile Rd
Suite a
Oak Park, MI 48237-2914

Mailing address

10450 W 9 Mile Rd
Suite a
Oak Park, MI 48237-2914
Phone (313) 563-3220

National Provider Directory

National Provider Directory

Locations

10450 W 9 Mile Rd
Ste A
Oak Park, MI 48237
Phone (248) 291-6360

Practitioners & affiliated clinicians

Practitioners 2

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": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352851200000",
    "number": "1861746646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 W 9 MILE RD",
            "address_2": "SUITE A",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372914",
            "telephone_number": "313-563-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 W 9 MILE RD",
            "address_2": "SUITE A",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372914",
            "telephone_number": "248-291-6360",
            "fax_number": "248-291-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC CENTER OF OAK PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2012-11-14",
        "status": "A",
        "authorized_official_last_name": "KAYAL",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "AMANDA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "313-563-3220",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; 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.