Organization Active NPI

Jeremiah M Shaft DC PLLC

Doing business as True Health Chiropractic Livonia

  • Chiropractor
  • Livonia, MI
National Provider Identifier
1972219822
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JEREMIAH M SHAFT DC PLLC
Doing business as
True Health Chiropractic Livonia
Practice address
28404 5 Mile Rd
Livonia, MI 48154-3824
Phone
(734) 261-2121
NPI assigned
Jan 24, 2023
Organization subpart
Yes
Parent organization
JEREMIAH M SHAFT DC PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Dr. Jeremiah Michael ShaftNPI 1053360768
Title
President
Phone
(248) 231-9650

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 Primary

Addresses

Primary practice location

28404 5 Mile Rd
Livonia, MI 48154-3824

Mailing address

PO Box 74126
Romulus, MI 48174-0126
Phone (734) 941-2211

Other identifiers 1

IdentifierTypeStateIssuer
950H232540OtherMIBLUE CROSS BLUE SHIELD OF MICHIGAN

Other names 1

  • True Health Chiropractic Livonia Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060626000023 MI Part B Supplier - Clinic/Group Practice 8527070135 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Livonia, MI; Romulus, MI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Jeremiah M Shaft DC PLLC3 organizations share this tax ID, including this one
Part of
Jeremiah M Shaft DC PLLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

28404 5 Mile Rd
Livonia, MI 48154
Phone (734) 261-2121

135 E Cady St
Northville, MI 48167
Phone (248) 231-9650

9340 Wayne Rd
Ste 100
Romulus, MI 48174
Phone (734) 941-2211

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1972219822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74126",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481740126",
            "telephone_number": "734-941-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28404 5 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543824",
            "telephone_number": "734-261-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMIAH M SHAFT DC PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEREMIAH M SHAFT DC PLLC",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "SHAFT",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-231-9650",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "950H232540",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "True Health Chiropractic Livonia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 24, 2023; 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.