Organization Active NPI

Herfert Chiropractic Clinic P C

  • Chiropractor
  • Eastpointe, MI
National Provider Identifier
1952581001
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
002102 Issued in MI
Legal business name
HERFERT CHIROPRACTIC CLINIC P C
Practice address
15700 E 9 Mile Rd
Eastpointe, MI 48021-3905
Phone
(586) 772-7770
Fax
(586) 776-3250
NPI assigned
Nov 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Dr. Richard C Herfert, D.C.
Title
Director
Phone
(586) 772-7770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 002102 MI Primary

Addresses

Primary practice location

15700 E 9 Mile Rd
Eastpointe, MI 48021-3905

Mailing address

15700 E 9 Mile Rd
Eastpointe, MI 48021-3905
Phone (586) 772-7770

Other identifiers 1

IdentifierTypeStateIssuer
0E05104OtherMIBCBS OF MICHIGAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080422000412 MI Part B Supplier - Clinic/Group Practice 1052499787 Receives reassigned benefits from 1 practitioner
Practice locations: Eastpointe, MI

National Provider Directory

National Provider Directory

Locations

15700 E 9 Mile Rd
Eastpointe, MI 48021
Phone (586) 772-7770

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1952581001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15700 E 9 MILE RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213905",
            "telephone_number": "586-772-7770",
            "fax_number": "586-776-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15700 E 9 MILE RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213905",
            "telephone_number": "586-772-7770",
            "fax_number": "586-776-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERFERT CHIROPRACTIC CLINIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "HERFERT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "586-772-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "002102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "0E05104",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.