Individual provider Active NPI

Jonathan Gifford Dean, D.C.

  • Chiropractor
  • Bloomfield Hills, MI
National Provider Identifier
1891932273
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009529 Issued in MI
Practice address
36800 Woodward Ave Ste 210
Bloomfield Hills, MI 48304-0917
Phone
(248) 543-3566
Fax
(248) 543-2628
NPI assigned
Jan 7, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009529 MI Primary

Addresses

Primary practice location

36800 Woodward Ave Ste 210
Bloomfield Hills, MI 48304-0917

Mailing address

36800 Woodward Ave Ste 210
Bloomfield Hills, MI 48304-0917
Phone (248) 543-3566

Other practice location 1

28931 Woodward Ave
Berkley, MI 48072-0923
Phone (248) 543-3566

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090211000043 MI Practitioner - Chiropractic 2860557642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakland Lifestyle Medicine-PLLCGroup PAC ID 6901275296, 4 clinicians

Practice addresses (Care Compare)

36800 Woodward Ave
Suite 210
Bloomfield Hills, MI 48304-0917
Phone (248) 543-3566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301009529MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Lifestyle Medicine-PLLC CurrentSince Nov 1, 2022 Accepting new patients

Locations

28931 Woodward Ave
Berkley, MI 48072
Phone (248) 543-3466

36800 Woodward Ave
Ste 210
Bloomfield Hills, MI 48304
Phone (248) 543-3566

Interoperability endpoints

  • Direct secure messaging: deanjona@dc0020.direct.chirotouch.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1891932273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36800 WOODWARD AVE STE 210",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040917",
            "telephone_number": "248-543-3566",
            "fax_number": "248-543-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36800 WOODWARD AVE STE 210",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040917",
            "telephone_number": "248-543-3566",
            "fax_number": "248-543-2628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28931 Woodward Ave",
            "address_purpose": "LOCATION",
            "city": "Berkley",
            "state": "MI",
            "postal_code": "480720923",
            "country_code": "US",
            "telephone_number": "248-543-3566",
            "fax_number": "248-543-2628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEAN",
        "first_name": "JONATHAN",
        "middle_name": "GIFFORD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-07",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.