Individual provider Active NPI

Emma Lockwood, DC

  • Pediatric Chiropractor
  • Warren, MI
National Provider Identifier
1962829275
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
2301010069 Issued in MI
Practice address
31850 Schoenherr Rd
Warren, MI 48088-1983
Phone
(586) 293-4440
NPI assigned
Mar 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Chiropractor 111NP0017X 2301010069 MI Primary

Addresses

Primary practice location

31850 Schoenherr Rd
Warren, MI 48088-1983

Mailing address

12935 Victoria Ave
Huntington Woods, MI 48070-1718
Phone (248) 376-7321

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150527001234 MI Practitioner - Chiropractic 3375863772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1228 Kirts Blvd
Suite 450
Troy, MI 48084-4831
Phone (248) 631-8245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301010069MIMDPediatric Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sawubona Chiropractic PLLC Pediatric Chiropractor CurrentSince Mar 11, 2015 Accepting new patients
Coxon Chiropractic LLC CurrentSince Feb 10, 2018 Accepting new patients

Locations

1228 Kirts Blvd
Ste 450
Troy, MI 48084
Phone (248) 631-8245

31850 Schoenherr Rd
Warren, MI 48088
Phone (586) 293-4440

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": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1962829275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12935 VICTORIA AVE",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701718",
            "telephone_number": "248-376-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31850 SCHOENHERR RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480881983",
            "telephone_number": "586-293-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKWOOD",
        "first_name": "EMMA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "MI",
            "license": "2301010069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.