Organization Active NPI

Michigan Chiropractic of Oak Park

  • Chiropractor
  • Ferndale, MI
National Provider Identifier
1902070709
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007704 Issued in MI
Legal business name
MICHIGAN CHIROPRACTIC OF OAK PARK
Practice address
1200 W 9 Mile Rd
Ferndale, MI 48220-1299
Phone
(248) 291-6973
Fax
(248) 291-6882
NPI assigned
Apr 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Authorized official

Name
Dr. Peter Andersen
Title
DC
Phone
(586) 610-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301007704 MI Primary

Addresses

Primary practice location

1200 W 9 Mile Rd
Ferndale, MI 48220-1299

Mailing address

1200 W 9 Mile Rd
Ferndale, MI 48220-1299
Phone (248) 291-6973

National Provider Directory

National Provider Directory

Locations

21380 Greenfield Rd
Oak Park, MI 48237
Phone (248) 968-7246

8440 W 9 Mile Rd
Ste B
Oak Park, MI 48237
Phone (586) 610-4000

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1902070709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W 9 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201299",
            "telephone_number": "248-291-6973",
            "fax_number": "248-291-6882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W 9 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201299",
            "telephone_number": "248-291-6973",
            "fax_number": "248-291-6882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN CHIROPRACTIC OF OAK PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "DC",
        "authorized_official_telephone_number": "586-610-4000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.