Individual provider Active NPI

Dennis Charles Stepanovich, D.C.

  • Chiropractor
  • Lansing, MI
National Provider Identifier
1073577003
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005118 Issued in MI
Practice address
3303 W Saginaw St
Suite a-2
Lansing, MI 48917-2303
Phone
(517) 323-2500
Fax
(517) 323-3161
NPI assigned
Apr 14, 2006
Last updated
Jul 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301005118 MI Primary

Addresses

Primary practice location

3303 W Saginaw St
Suite a-2
Lansing, MI 48917-2303

Mailing address

3303 W Saginaw St
Suite a-2
Lansing, MI 48917-2303
Phone (517) 323-2500

Other identifiers 1

IdentifierTypeStateIssuer
950C313530OtherMIBLUU CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1073577003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 W SAGINAW ST",
            "address_2": "SUITE A-2",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172303",
            "telephone_number": "517-323-2500",
            "fax_number": "517-323-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 W SAGINAW ST",
            "address_2": "SUITE A-2",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172303",
            "telephone_number": "517-323-2500",
            "fax_number": "517-323-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPANOVICH",
        "first_name": "DENNIS",
        "middle_name": "CHARLES",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUU CROSS BLUE SHIELD",
            "identifier": "950C313530",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.