Great Lakes Chiropractic, P.C.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

2301007508 Issued in MI

Legal business name

GREAT LAKES CHIROPRACTIC, P.C.

Practice address

4105 Metropolitan Pkwy
Suite 101
Sterling Heights, MI 48310-7503

Phone

(586) 939-1003

Fax

(586) 939-3862

NPI assigned

Feb 19, 2009

Organization subpart

No

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

Authorized official

Name

Dr. John G. Bloodworth, D.C.

Title

President

Phone

(586) 939-1003

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Galutan Estrada, D.C.

  • Chiropractor
  • Sterling Heights, MI
  • NPI 1144747130
  NPD

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1902045685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 METROPOLITAN PKWY",
            "address_2": "SUITE 101",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483107503",
            "telephone_number": "586-939-1003",
            "fax_number": "586-939-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 METROPOLITAN PKWY",
            "address_2": "SUITE 101",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483107503",
            "telephone_number": "586-939-1003",
            "fax_number": "586-939-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "BLOODWORTH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-939-1003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "MI",
            "license": "2301007508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Carol Grawburg, BS PT
• Kelley Lynne Gray-Allen, P.A.
• Laura Gray
• Great Homecare, Inc
• Great Lakes Carewell LLC
• Great Lakes Orthopedic Physical Therapy, Inc.
• Great Lakes Pediatric Cardiology PLLC
• Great Lakes Pediatric Cardiology, PLLC
• Great Lakes Sleep Medicine Institute PLC
• Great Reliable Services LLC

• Orthopedic Chiropractor in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Orthopedic Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.