Shores Chiropractic Center, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007036 Issued in MI

Legal business name

SHORES CHIROPRACTIC CENTER, PC

Practice address

28404 Harper Ave
Saint Clair Shores, MI 48081-1607

Phone

(586) 775-6500

Fax

(586) 775-6591

NPI assigned

Jul 16, 2008

Organization subpart

No

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

Authorized official

Name

John J Migliazzo, DCNPI 1366529422

Title

President

Phone

(586) 775-6500

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Joseph Migliazzo, DC

  • Chiropractor
  • Saint Clair Shores, MI
  • NPI 1366529422
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1154585404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28404 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811607",
            "telephone_number": "586-775-6500",
            "fax_number": "586-775-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28404 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811607",
            "telephone_number": "586-775-6500",
            "fax_number": "586-775-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORES CHIROPRACTIC CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "MIGLIAZZO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-775-6500",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI  BCBSM",
            "identifier": "1366529422",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3267532",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shore Optical
• Shoreline Dental Center
• Shorepointe Counseling P.L.C.
• Shorepointe Counseling P.L.C.
• Shorepointe Optical Inc
• Shores Dental Center, P.C.
• Shores Dental PLLC
• Shores Dental Reflections, PLC
• Shores Foot and Ankle Center LTD.
• Shores Hearing

• Chiropractor in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.