Organization Active NPI

Rom Family Chiropractic PLLC

  • Chiropractor
  • Shelby Township, MI
National Provider Identifier
1982999819
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009532 Issued in MI
Legal business name
ROM FAMILY CHIROPRACTIC PLLC
Practice address
50955 Hayes Rd
Shelby Township, MI 48315-3237
Phone
(586) 532-7732
Fax
(586) 532-7734
NPI assigned
Jun 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Authorized official

Name
Dr. Peter Rom, D.C.NPI 1780821496
Title
Owner
Phone
(586) 556-1513

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 2301009532 MI Primary

Addresses

Primary practice location

50955 Hayes Rd
Shelby Township, MI 48315-3237

Mailing address

50955 Hayes Rd
Shelby TWP, MI 48315-3237
Phone (586) 532-7732

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120524000479 MI Part B Supplier - Clinic/Group Practice 3971766296 Receives reassigned benefits from 2 practitioners
Practice locations: Shelby Township, MI

National Provider Directory

National Provider Directory

Locations

50955 Hayes Rd
Shelby Township, MI 48315
Phone (586) 532-7732

Practitioners & affiliated clinicians

Practitioners 5

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": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1982999819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50955 HAYES RD",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483153237",
            "telephone_number": "586-532-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50955 HAYES RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153237",
            "telephone_number": "586-532-7732",
            "fax_number": "586-532-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROM FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-20",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "ROM",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-556-1513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.