Individual provider Active NPI

Jaafer Aldirawi, DC

  • Chiropractor
  • Dearborn, MI
National Provider Identifier
1962250423
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301401521 Issued in MI
Practice address
6558 Greenfield Rd
Dearborn, MI 48126-1701
Phone
(313) 757-9177
NPI assigned
May 9, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 2301401521 MI
Chiropractor 111N00000X 2301401521 MI Primary

Addresses

Primary practice location

6558 Greenfield Rd
Dearborn, MI 48126-1701

Mailing address

6558 Greenfield Rd
Dearborn, MI 48126-1701
Phone (313) 757-9177

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240723001338 MI Practitioner - Chiropractic 2163968439 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301401521MIMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Spine Management Clinic PLC Chiropractor CurrentSince Jul 1, 2024 Accepting new patients
Detroit Chiropractic Clinic PLLC Rehabilitation CurrentSince Oct 29, 2025 Accepting new patients

Locations

444 N Telegraph Rd
Dearborn, MI 48128
Phone (313) 406-6002

6558 Greenfield Rd
Ste 108
Dearborn, MI 48126

6558 Greenfield Rd
Dearborn, MI 48126
Phone (313) 581-1155

22350 Ford Rd
Dearborn Heights, MI 48127
Phone (313) 278-2788

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1962250423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6558 GREENFIELD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261701",
            "telephone_number": "313-757-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6558 GREENFIELD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261701",
            "telephone_number": "313-757-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDIRAWI",
        "first_name": "JAAFER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-09",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MI",
            "license": "2301401521",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.