Tony G. Aboudib, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009361 Issued in MI

Practice address

2000 Chartwell Dr.
#2
Traverse City, MI 49686

Phone

(231) 421-5213

Fax

(231) 421-5215

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Advanced Chiropractic and Wellness LLC

  • Chiropractor
  • Traverse City, MI
  • NPI 1144559675
  Medicare reassignment Authorized official
• Aboudib Advanced Imaging Inc

  • Diagnostic Radiology Physician
  • Southlake, TX
  • NPI 1528148715
  NPD (past) Authorized official
• Aboudib Advanced Sleep Center

  • Sleep Disorder Diagnostic Clinic/Center
  • Fort Worth, TX
  • NPI 1407031735
  NPD (past) Authorized official

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1043373343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CHARTWELL DR.",
            "address_2": "#2",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49686",
            "telephone_number": "231-421-5213",
            "fax_number": "231-421-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CHARTWELL DR.",
            "address_2": "#2",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49686",
            "telephone_number": "231-421-5213",
            "fax_number": "231-421-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOUDIB",
        "first_name": "TONY",
        "middle_name": "G.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC4634",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "603589",
            "identifier": "BLUE CROSS",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT. OF LABOR",
            "identifier": "179719500",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abdominopelvic Health, PLLC
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• Elizabeth Abel, MD
• Abigail Peck, PLLC
• Ability Plus Home Health Care Inc
• Traci Lynn Abramczyk
• Accelerated Mobility Physical Therapy LLC
• Access Dental Group PLLC
• Asante Acheampong, PHARMD
• Cindy Lou Acker

• Chiropractor in Traverse City, MI
• Providers in Traverse 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 17, 2010; 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.