Organization Active NPI

Chiropractic Physicians, P.C.

  • Chiropractor
  • Roseville, MI
National Provider Identifier
1972704898
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004162 Issued in MI
Legal business name
CHIROPRACTIC PHYSICIANS, P.C.
Practice address
30556 Utica Rd
Roseville, MI 48066-1528
Phone
(586) 771-4550
Fax
(586) 771-4919
NPI assigned
May 29, 2007
Last updated
Sep 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Authorized official

Name
Dr. Ralph Edward Young, DC
Title
President
Phone
(586) 771-4550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301004162 MI Primary

Addresses

Primary practice location

30556 Utica Rd
Roseville, MI 48066-1528

Mailing address

30556 Utica Rd
Roseville, MI 48066-1528
Phone (586) 771-4550

National Provider Directory

National Provider Directory

Locations

30556 Utica Rd
Roseville, MI 48066
Phone (586) 771-4550

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1972704898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30556 UTICA RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480661528",
            "telephone_number": "586-771-4550",
            "fax_number": "586-771-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30556 UTICA RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480661528",
            "telephone_number": "586-771-4550",
            "fax_number": "586-771-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC PHYSICIANS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-771-4550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.