Organization Active NPI

Abode Integrated Medicine,PLLC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Novi, MI
National Provider Identifier
1891828885
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
Legal business name
ABODE INTEGRATED MEDICINE,PLLC
Practice address
25500 Meadowbrook Rd
# 215
Novi, MI 48375-1845
Phone
(248) 888-9780
Fax
(248) 888-9784
NPI assigned
Mar 13, 2007
Last updated
Jan 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Dr. Jay Brain Danto, D.O.
Title
Presdent
Phone
(248) 888-9780

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X NU Primary
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

25500 Meadowbrook Rd
# 215
Novi, MI 48375-1845

Mailing address

25500 Meadowbrook Rd
# 215
Novi, MI 48375-1845
Phone (248) 888-9780

National Provider Directory

National Provider Directory

Locations

25500 Meadowbrook Rd
Ste 2
Novi, MI 48375
Phone (248) 888-9780

25500 Meadowbrook Rd
Ste 215
Novi, MI 48375
Phone (248) 888-9780

6450 Farmington Rd
Ste 121
West Bloomfield, MI 48322
Phone (248) 788-3956

Practitioners & affiliated clinicians

Practitioners 3

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1891828885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD",
            "address_2": "# 215",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751845",
            "telephone_number": "248-888-9780",
            "fax_number": "248-888-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD",
            "address_2": "# 215",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751845",
            "telephone_number": "248-888-9780",
            "fax_number": "248-888-9784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABODE INTEGRATED MEDICINE,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "DANTO",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "BRAIN",
        "authorized_official_title_or_position": "PRESDENT",
        "authorized_official_telephone_number": "248-888-9780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.