Gregg Chiropractic Life Center P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GREGG CHIROPRACTIC LIFE CENTER P.C.

Practice address

1647 Inkster Rd
Garden City, MI 48135-3086

Phone

(734) 525-8422

Fax

(734) 525-5421

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Robert James Gregg, D.C.NPI 1083774947

Title

President

Phone

(734) 525-8422

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert James Gregg, D.C.

  • Chiropractor
  • Garden City, MI
  • NPI 1083774947
  Medicare reassignment Care Compare group NPD Authorized official
• James Michael Gregg, D.C.

  • Chiropractor
  • Garden City, MI
  • NPI 1316208309
  Medicare reassignment Care Compare group NPD
• Timothy J Carter, D.C.

  • Chiropractor
  • Walled Lake, MI
  • NPI 1851451637
  Medicare reassignment NPD
• William Russell Clugston, DC

  • Chiropractor
  • Garden City, MI
  • NPI 1295081016
  Medicare reassignment NPD
• David Crawford Mason, DC

  • Chiropractor
  • Rochester, MI
  • NPI 1164568523
  Medicare reassignment
• Sheila Marie Makhool-Fallouh, D.C.

  • Chiropractor
  • Dearborn, MI
  • NPI 1356412852
  NPD

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1992865703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1647 INKSTER RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481353086",
            "telephone_number": "734-525-8422",
            "fax_number": "734-525-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 INKSTER RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481353086",
            "telephone_number": "734-525-8422",
            "fax_number": "734-525-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGG CHIROPRACTIC LIFE CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "GREGG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-525-8422",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008872",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEPOS",
            "identifier": "6693110001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Danica Grceski, LLMSW
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• James Michael Gregg, D.C.
• Robert James Gregg, D.C.
• Robert Gross, DO
• Guardian Helping Hand Inc
• Guardian Pharmacy LLC

• Chiropractor in Garden City, MI
• Providers in Garden City, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.