Individual provider Active NPI

John Micky Dimasi, DC

  • Chiropractor
  • Clinton TWP, MI
National Provider Identifier
1073510434
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005929 Issued in MI
Practice address
35525 Garfield Rd
Suite B
Clinton TWP, MI 48035-5521
Phone
(586) 477-1800
Fax
(586) 477-1815
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301005929 MI Primary

Addresses

Primary practice location

35525 Garfield Rd
Suite B
Clinton TWP, MI 48035-5521

Mailing address

35525 Garfield Rd
Suite B
Clinton TWP, MI 48035-5521
Phone (586) 477-1800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110316000879 MI Practitioner - Chiropractic 5698957330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mediterranean Association PLLCGroup PAC ID 1456533199, 3 clinicians

Practice addresses (Care Compare)

35525 Garfield Rd
Suite B
Clinton Township, MI 48035-5521
Phone (586) 477-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Mediterranean Association PLLC Chiropractor CurrentSince Jan 3, 2011 Accepting new patients
John M Dimasi DC PC Chiropractor PastSince Jan 3, 2011 Accepting new patients
Frederick M. Vogel, DC PC Chiropractor Past Accepting new patients

Locations

35525 Garfield Rd
Ste B
Clinton Twp, MI 48035
Phone (586) 477-1800

15300 E 10 Mile Rd
Eastpointe, MI 48021
Phone (586) 774-1550

Organizations & group practices 3

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1073510434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35525 GARFIELD RD",
            "address_2": "SUITE B",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480355521",
            "telephone_number": "586-477-1800",
            "fax_number": "586-477-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35525 GARFIELD RD",
            "address_2": "SUITE B",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480355521",
            "telephone_number": "586-477-1800",
            "fax_number": "586-477-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMASI",
        "first_name": "JOHN",
        "middle_name": "MICKY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.