Organization Active NPI

Joseph a Mayo Jr DC PC

Doing business as Michigan Center Chiropractic Clinic

  • Chiropractor
  • Michigan Center, MI
National Provider Identifier
1871642330
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004516 Issued in MI
Legal business name
JOSEPH A MAYO JR DC PC
Doing business as
Michigan Center Chiropractic Clinic
Practice address
4640 Page Ave
Michigan Center, MI 49254-1042
Phone
(517) 764-5305
Fax
(517) 764-5417
NPI assigned
Jan 10, 2007
Last updated
Nov 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Dr. Joseph A Mayo Jr., D.C.
Title
President
Phone
(517) 764-5305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301004516 MI Primary

Addresses

Primary practice location

4640 Page Ave
Michigan Center, MI 49254-1042

Mailing address

4640 Page Ave
Michigan Center, MI 49254-1042
Phone (517) 764-5305

Other identifiers 1

IdentifierTypeStateIssuer
1947397MedicaidMI

Other names 1

  • MICHIGAN CENTER CHIROPRACTIC CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

4640 Page Ave
Michigan Ctr, MI 49254
Phone (517) 764-5305

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1871642330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 PAGE AVE",
            "city": "MICHIGAN CENTER",
            "state": "MI",
            "postal_code": "492541042",
            "telephone_number": "517-764-5305",
            "fax_number": "517-764-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 PAGE AVE",
            "city": "MICHIGAN CENTER",
            "state": "MI",
            "postal_code": "492541042",
            "telephone_number": "517-764-5305",
            "fax_number": "517-764-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH A MAYO JR DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-764-5305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1947397",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MICHIGAN CENTER CHIROPRACTIC CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Michigan Center, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.