Redford Chiropractic Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301005184 Issued in MI

Legal business name

REDFORD CHIROPRACTIC CENTER PC

Practice address

24801 Five Mile Road
Suite #22
Redford, MI 48239

Phone

(313) 387-8122

Fax

(313) 387-8123

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kelly S Cromarty, D.C.NPI 1417974353

Title

President Owner

Phone

(313) 387-8122

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Kelly S Cromarty, D.C.

  • Chiropractor
  • Redford, MI
  • NPI 1417974353
  NPD (past) Authorized official
• Thomas G Czarnecki, D.C.

  • Chiropractor
  • White Lake, MI
  • NPI 1215950019
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902999626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24801 FIVE MILE ROAD",
            "address_2": "SUITE #22",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "48239",
            "telephone_number": "313-387-8122",
            "fax_number": "313-387-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24801 FIVE MILE ROAD",
            "address_2": "SUITE #22",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "48239",
            "telephone_number": "313-387-8122",
            "fax_number": "313-387-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDFORD CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROMARTY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "313-387-8122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Redford Counseling
• Redford Dental Group
• Redford Discount Pharmacy PLLC
• Redford Headquarters, Inc.
• Redford Med Equipment Inc

• Chiropractor in Redford, MI
• Providers in Redford, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.