Organization Active NPI

Tasco Family Chiropractic PLLC

  • Chiropractor
  • Rochester, MI
National Provider Identifier
1114115789
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007860 Issued in MI
Legal business name
TASCO FAMILY CHIROPRACTIC PLLC
Practice address
115 E 3Rd St
Rochester, MI 48307-2011
Phone
(248) 608-2675
Fax
(248) 608-2574
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Authorized official

Name
Scot Matthew Tasco, D.C.
Title
Owner
Phone
(248) 608-2675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301007860 MI Primary

Addresses

Primary practice location

115 E 3Rd St
Rochester, MI 48307-2011

Mailing address

115 E 3Rd St
Rochester, MI 48307-2011
Phone (248) 608-2675

Other identifiers 1

IdentifierTypeStateIssuer
950F338340OtherMIBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

115 E 3rd St
Rochester, MI 48307
Phone (248) 608-2675

4497 Collins Rd
Rochester, MI 48306
Phone (248) 515-5425

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1114115789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 3RD ST",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483072011",
            "telephone_number": "248-608-2675",
            "fax_number": "248-608-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 3RD ST",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483072011",
            "telephone_number": "248-608-2675",
            "fax_number": "248-608-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TASCO FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "TASCO",
        "authorized_official_first_name": "SCOT",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-608-2675",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "950F338340",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.