Active NPI
James Ross Muldoon, D.C.
- Chiropractor
- Wixom, MI
National Provider Identifier
1891075040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301009804
- Practice address
- 29680 S Wixom Rd
Wixom, MI 48393-3430 - Phone
- (248) 892-7246
- Fax
- (248) 869-6000
- NPI assigned
- Aug 19, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 1992207 | MI | |
| Chiropractor | 111N00000X | 2301009804 | MI | Primary |
Addresses
Primary practice location
29680 S Wixom Rd
Wixom, MI 48393-3430
Mailing address
29680 S Wixom Rd
Wixom, MI 48393-3430
Phone (248) 892-7246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301009804 | MI | MD | Chiropractor |
| 1992207 | MI | MD | Neurology Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxliving Wixom PLLC | Chiropractor | Past | Accepting new patients |
| Achieving Health Chiropractic Plus PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Plymouth, MI
- NPI 1245481449
-
- Chiropractor
- Wixom, MI
- NPI 1356277842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447027200000",
"number": "1891075040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29680 S WIXOM RD",
"city": "WIXOM",
"state": "MI",
"postal_code": "483933430",
"telephone_number": "248-892-7246",
"fax_number": "248-869-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29680 S WIXOM RD",
"city": "WIXOM",
"state": "MI",
"postal_code": "483933430",
"telephone_number": "248-892-7246",
"fax_number": "248-869-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULDOON",
"first_name": "JAMES",
"middle_name": "ROSS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-19",
"last_updated": "2015-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "MI",
"license": "1992207",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301009804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wixom, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.