Organization Active NPI

Glenn M. Ahee, D.C., PLLC

  • Chiropractor
  • Warren, MI
National Provider Identifier
1871873547
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005222 Issued in MI
Legal business name
GLENN M. AHEE, D.C., PLLC
Practice address
30838 Schoenherr Rd
Warren, MI 48088-6856
Phone
(586) 776-4000
NPI assigned
Aug 25, 2011
Last updated
Oct 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Authorized official

Name
Dr. Glenn Michael Ahee, D.C.NPI 1114970944
Title
President
Phone
(586) 745-7183

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301005222 MI Primary

Addresses

Primary practice location

30838 Schoenherr Rd
Warren, MI 48088-6856

Mailing address

6690 Cross Creek Dr
Washington, MI 48094-2814
Phone (586) 745-7183

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111212000491 MI Part B Supplier - Clinic/Group Practice 4880869353 Receives reassigned benefits from 1 practitioner
Practice locations: Warren, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1871873547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6690 CROSS CREEK DR",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480942814",
            "telephone_number": "586-745-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30838 SCHOENHERR RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886856",
            "telephone_number": "586-776-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN M. AHEE, D.C., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "AHEE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-745-7183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.