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Organization Active NPI

Advanced Back Solutions

Doing business as Plymouth Chiropractic Center

  • Chiropractor
  • Plymouth, MI
National Provider Identifier
1881779031
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008605 Issued in MI
Legal business name
ADVANCED BACK SOLUTIONS
Doing business as
Plymouth Chiropractic Center
Practice address
615 N Mill St
Ste C
Plymouth, MI 48170-1397
Phone
(734) 437-7689
Fax
(734) 437-7699
NPI assigned
Oct 26, 2006
Last updated
Oct 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Authorized official

Name
Dr. Kevin M Venerus, D.C.
Title
President
Phone
(734) 437-7689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008605 MI Primary

Addresses

Primary practice location

615 N Mill St
Ste C
Plymouth, MI 48170-1397

Mailing address

615 N Mill St
Ste C
Plymouth, MI 48170-1397
Phone (734) 437-7689

Other identifiers 3

IdentifierTypeStateIssuer
1871529404OtherMINPI
0H22911OtherMIBCBS
144951428MedicaidMI

Other names 1

  • Plymouth Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

10988 Middlebelt Rd
Livonia, MI 48150
Phone (734) 437-7689

615 N Mill St
Ste C
Plymouth, MI 48170
Phone (734) 437-7689

900 Starkweather St
Plymouth, MI 48170
Phone (734) 437-7689

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1881779031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N MILL ST",
            "address_2": "STE C",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701397",
            "telephone_number": "734-437-7689",
            "fax_number": "734-437-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N MILL ST",
            "address_2": "STE C",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701397",
            "telephone_number": "734-437-7689",
            "fax_number": "734-437-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BACK SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "VENERUS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-437-7689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1871529404",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0H22911",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144951428",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plymouth Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.