Organization Active NPI

Northland Chiropractic Centre, PC

  • Chiropractor
  • Oak Park, MI
National Provider Identifier
1982897252
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
004948 Issued in MI
Legal business name
NORTHLAND CHIROPRACTIC CENTRE, PC
Practice address
23300 Greenfield Rd
Suite 205
Oak Park, MI 48237-5237
Phone
(248) 967-3986
Fax
(248) 967-5409
NPI assigned
Aug 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Geoffrey Kemoli Sagala, DCNPI 1013038629
Title
President
Phone
(248) 967-3986

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 004948 MI Primary

Addresses

Primary practice location

23300 Greenfield Rd
Suite 205
Oak Park, MI 48237-5237

Mailing address

23300 Greenfield Rd
Suite 205
Oak Park, MI 48237-5237
Phone (248) 967-3986

National Provider Directory

National Provider Directory

Locations

23300 Greenfield Rd
Ste 205
Oak Park, MI 48237
Phone (248) 967-3986

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": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1982897252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23300 GREENFIELD RD",
            "address_2": "SUITE 205",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482375237",
            "telephone_number": "248-967-3986",
            "fax_number": "248-967-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23300 GREENFIELD RD",
            "address_2": "SUITE 205",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482375237",
            "telephone_number": "248-967-3986",
            "fax_number": "248-967-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND CHIROPRACTIC CENTRE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "SAGALA",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "KEMOLI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-967-3986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "004948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.