Organization Active NPI

Khazaal Chiropractic Inc

  • Chiropractor
  • Dearborn Heights, MI
National Provider Identifier
1992040752
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007644 Issued in MI
Legal business name
KHAZAAL CHIROPRACTIC INC
Practice address
22030 Ford Rd
Suite B
Dearborn Heights, MI 48127-2418
Phone
(313) 551-5232
Fax
(313) 228-5294
NPI assigned
Dec 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Authorized official

Name
Radwan Khazaal, D.C.
Title
President
Phone
(313) 551-5232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301007644 MI Primary

Addresses

Primary practice location

22030 Ford Rd
Suite B
Dearborn Heights, MI 48127-2418

Mailing address

22030 Ford Rd
Suite B
Dearborn Heights, MI 48127-2418
Phone (313) 551-5232

National Provider Directory

National Provider Directory

Locations

22030 Ford Rd
Ste B
Dearborn Heights, MI 48127
Phone (313) 406-2410

Practitioners & affiliated clinicians

Practitioners 2

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": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1992040752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22030 FORD RD",
            "address_2": "SUITE B",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272418",
            "telephone_number": "313-551-5232",
            "fax_number": "313-228-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22030 FORD RD",
            "address_2": "SUITE B",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272418",
            "telephone_number": "313-551-5232",
            "fax_number": "313-228-5294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHAZAAL CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "KHAZAAL",
        "authorized_official_first_name": "RADWAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-551-5232",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.