Beller Chiropractic Life Center, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301005813 Issued in MI

Legal business name

BELLER CHIROPRACTIC LIFE CENTER, INC

Practice address

13301 Reeck Court
Suite 1a
Southgate, MI 48195-3054

Phone

(734) 282-8484

Fax

(734) 282-7295

NPI assigned

Dec 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bryan Beller, D.C.

Title

Owner

Phone

(734) 282-8484

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

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

• Cecilia Ingrid Leppen, D.C.

  • Chiropractor
  • Southgate, MI
  • NPI 1376606848
  NPD (past)
• Robin L Roberts, D.C.

  • Chiropractor
  • Lincoln Park, MI
  • NPI 1356492995
  NPD (past)

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1871777490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13301 REECK COURT",
            "address_2": "SUITE 1A",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481953054",
            "telephone_number": "734-282-8484",
            "fax_number": "734-282-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13301 REECK COURT",
            "address_2": "SUITE 1A",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481953054",
            "telephone_number": "734-282-8484",
            "fax_number": "734-282-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLER CHIROPRACTIC LIFE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "BELLER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-282-8484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3151958",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "950H25342",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gay Lynne Bell, MSW
• Phoenix Anttiwon Bell, BA
• Tabitha Bell
• Tyrone Bell, PH.D
• Bellavista Medical Center PLLC
• Bryan D. Beller, D.C.
• Christina Louise Benkert, D.O. MPH
• Alic Berdin
• David Alejando Bermudez, PHARMD
• Brittany L Berns

• Chiropractor in Southgate, MI
• Providers in Southgate, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.