Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1417057019 Deactivated / Inactive NPI Male Practitioner

Dr. Jack Failla , DC

Chiropractor • St Clair Shores, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jack Failla has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 24, 2006
NPI Deactivation Date January 07, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Failla, DC was a registered Chiropractor practicing in St Clair Shores, MI. Throughout an active medical career spanning 15 years, Dr. Failla provided care at the practice location at 30045 HARPER AVE until profile deactivation on 2021-01-07.

Practice Location & Contact Primary Location

Practice Address

30045 Harper Ave
Suite One

St Clair Shores, MI 480821649

Telephone 5867728560
Associated Practice Facility / Clinic
🏢 Jack Failla D.c.p.c. Facility NPI 1346577582

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in St Clair Shores, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.9 Yrs
Regional Practice Density
2 Specialists

Practicing in St Clair Shores, MI (3252 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License MI 2301001958

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1619213840

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 07, 2021

Record deactivated on January 07, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 30045 HARPER AVE, SUITE ONE, ST CLAIR SHORES, MI 480821649 (Tel: 5867728560)

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Updated Business Mailing Address July 08, 2007

Registered at 30045 HARPER AVE, SUITE ONE, ST CLAIR SHORES, MI 480821649 (Tel: 5867728560)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JACK FAILLA, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #2301001958 in MI)

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Initial NPI Registration & Enumeration September 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417057019
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2006
Last Update: July 08, 2007
Deactivation Date: January 07, 2021

Mailing Address

30045 Harper Ave, Suite One

St Clair Shores, MI 480821649

Phone: 5867728560

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.