Organization Active NPI

Mintz Family Chiropractic PC

  • Chiropractor
  • West Bloomfield, MI
National Provider Identifier
1942478847
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
EM007699 Issued in MI
Legal business name
MINTZ FAMILY CHIROPRACTIC PC
Practice address
5600 W Maple Rd
Suite A110
West Bloomfield, MI 48322-3704
Phone
(248) 737-9494
Fax
(248) 865-2549
NPI assigned
Feb 13, 2008
Last updated
Feb 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Eric Mintz, D.C.NPI 1881750735
Title
Owner
Phone
(248) 737-9494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X EM007699 MI Primary

Addresses

Primary practice location

5600 W Maple Rd
Suite A110
West Bloomfield, MI 48322-3704

Mailing address

5600 W Maple Rd
Suite A110
West Bloomfield, MI 48322-3704
Phone (248) 737-9494

Other identifiers 1

IdentifierTypeStateIssuer
0F35461OtherMIBCBSM PIN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1942478847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 W MAPLE RD",
            "address_2": "SUITE A110",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223704",
            "telephone_number": "248-737-9494",
            "fax_number": "248-865-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W MAPLE RD",
            "address_2": "SUITE A110",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223704",
            "telephone_number": "248-737-9494",
            "fax_number": "248-865-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINTZ FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "MINTZ",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-737-9494",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "EM007699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PIN",
            "identifier": "0F35461",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.