Individual provider Active NPI

Solomon I Ikwechegh, B.SC., B.S., D.C.

  • Chiropractor
  • Detroit, MI
National Provider Identifier
1922126861
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008739 Issued in MI
Practice address
15800 W McNichols Rd
Suite 220
Detroit, MI 48235-3566
Phone
(313) 272-1777
Fax
(313) 272-1777
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008739 MI Primary

Addresses

Primary practice location

15800 W McNichols Rd
Suite 220
Detroit, MI 48235-3566

Mailing address

PO Box 3591
Southfield, MI 48037-3591
Phone (313) 272-1777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Quest Health Systems VII, PLLC Chiropractor PastSince Nov 1, 2008 Accepting new patients
Therapy Unlimited, LLC PastSince Jan 12, 2015 Accepting new patients
Victory Home Care Private Duty, LLC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922126861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3591",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480373591",
            "telephone_number": "313-272-1777",
            "fax_number": "313-272-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15800 W MCNICHOLS RD",
            "address_2": "SUITE 220",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353566",
            "telephone_number": "313-272-1777",
            "fax_number": "313-272-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKWECHEGH",
        "first_name": "SOLOMON",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "B.SC., B.S., D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.