Individual provider Active NPI

Joshua Isaiah Budaj, DC

  • Chiropractor
  • West Bloomfield, MI
National Provider Identifier
1871180562
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301011033 Issued in MI
Practice address
5799 W Maple Rd Ste 159
West Bloomfield, MI 48322-4458
Phone
(248) 626-0001
Fax
(248) 626-0008
NPI assigned
Dec 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301011033 MI Primary

Addresses

Primary practice location

5799 W Maple Rd Ste 159
West Bloomfield, MI 48322-4458

Mailing address

5799 W Maple Rd Ste 159
West Bloomfield, MI 48322-4458
Phone (248) 626-0001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210125002258 MI Practitioner - Chiropractic 1456765981 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301011033MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
David D Budaj PC CurrentSince Jan 22, 2021 Accepting new patients

Locations

5799 W Maple Rd
Ste 159
West Bloomfield, MI 48322
Phone (248) 626-0001

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1871180562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5799 W MAPLE RD STE 159",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224458",
            "telephone_number": "248-626-0001",
            "fax_number": "248-626-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5799 W MAPLE RD STE 159",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224458",
            "telephone_number": "248-626-0001",
            "fax_number": "248-626-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDAJ",
        "first_name": "JOSHUA",
        "middle_name": "ISAIAH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301011033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.