Active NPI
Mintz Family Chiropractic PC
- Chiropractor
- West Bloomfield, MI
National Provider Identifier
1942478847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- EM007699
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Mintz, D.C.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0F35461 | Other | MI | BCBSM PIN |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Chiropractor
- West Bloomfield, MI
- NPI 1881750735
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.