Mt Clemens Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MT CLEMENS CHIROPRACTIC LLC

Practice address

117 Crocker Blvd
Mount Clemens, MI 48043-2505

Phone

(586) 465-7422

Fax

(586) 465-1480

NPI assigned

Aug 31, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Arnold Dudek, DC

Title

Owner

Phone

(586) 465-7422

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1871842187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CROCKER",
            "city": "MT CLEMENS",
            "state": "MI",
            "postal_code": "48043",
            "telephone_number": "586-465-7422",
            "fax_number": "586-465-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 CROCKER BLVD",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432505",
            "telephone_number": "586-465-7422",
            "fax_number": "586-465-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT CLEMENS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "DUDEK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-465-7422",
        "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": [],
    "endpoints": [],
    "other_names": []
}

• Erica Morphis
• Deandra Morris
• Joel Glenwood Morris
• Geoffery Morrow, LLMSW
• Mount Clemens Regional Medical Center
• Mt. Clemens Regional Emergency Physicians, PLLC
• Ashlynn Mueller, LMSW
• Hajr Amani Muhammad, MA, TLLP
• Joseph Mark Mukhtar, DO
• Christine Marie Mulka, ANP-BC

• Chiropractor in Mount Clemens, MI
• Providers in Mount Clemens, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.