Individual provider Active NPI

Michael C Pierce, DC

  • Chiropractor
  • Santa Clara, CA
National Provider Identifier
1013035997
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC207480 Issued in CA
Practice address
545 Saratoga Ave
Suite D
Santa Clara, CA 95050-5672
Phone
(408) 296-6133
Fax
(408) 260-0657
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC207480 CA Primary
Chiropractor 111N00000X DC20748 CA

Addresses

Primary practice location

545 Saratoga Ave
Suite D
Santa Clara, CA 95050-5672

Mailing address

545 Saratoga Ave
Suite D
Santa Clara, CA 95050-5672
Phone (408) 296-6133

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120321000900 CA Practitioner - Chiropractic 7618137019 Practice locations: Santa Clara, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

545 Saratoga Ave
Suite D
Santa Clara, CA 95050-5672
Phone (408) 296-6133

545 Saratoga Ave D
Santa Clara, CA 95050-5672
Phone (408) 296-6133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC20748CAMDChiropractor
DC207480CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pierce Wellness Revolution Chiropractic Inc. Chiropractor Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1013035997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 SARATOGA AVE",
            "address_2": "SUITE D",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950505672",
            "telephone_number": "408-296-6133",
            "fax_number": "408-260-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 SARATOGA AVE",
            "address_2": "SUITE D",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950505672",
            "telephone_number": "408-296-6133",
            "fax_number": "408-260-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC207480",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC20748",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.