NPIMap

Organization Active NPI

Arbor Crossing Chiropractic Life Center, PLC

  • Chiropractor
  • Livonia, MI
National Provider Identifier
1952690364
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301006082 Issued in MI
Legal business name
ARBOR CROSSING CHIROPRACTIC LIFE CENTER, PLC
Practice address
37625 Ann Arbor Rd
Suite 111
Livonia, MI 48150-2400
Phone
(734) 462-2262
Fax
(734) 462-6232
NPI assigned
Apr 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Authorized official

Name
Dr. Grant A Schneider, DCNPI 1386652915
Title
Chiropractor
Phone
(734) 462-2262

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301006082 MI Primary

Addresses

Primary practice location

37625 Ann Arbor Rd
Suite 111
Livonia, MI 48150-2400

Mailing address

37625 Ann Arbor Rd
Suite 111
Livonia, MI 48150-2400
Phone (734) 462-2262

Other identifiers 1

IdentifierTypeStateIssuer
OH27105OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110621000617 MI Part B Supplier - Clinic/Group Practice 2365620333 Receives reassigned benefits from 1 practitioner
Practice locations: Livonia, MI

National Provider Directory

National Provider Directory

Locations

37625 Ann Arbor Rd
Ste 1
Livonia, MI 48150

Practitioners & affiliated clinicians

Practitioners 1

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": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1952690364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37625 ANN ARBOR RD",
            "address_2": "SUITE 111",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502400",
            "telephone_number": "734-462-2262",
            "fax_number": "734-462-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37625 ANN ARBOR RD",
            "address_2": "SUITE 111",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502400",
            "telephone_number": "734-462-2262",
            "fax_number": "734-462-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR CROSSING CHIROPRACTIC LIFE CENTER, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "734-462-2262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "OH27105",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.