Individual provider Active NPI

Charles Steven Pignataro, DC

  • Chiropractor
  • Richland, MI
National Provider Identifier
1174552087
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008437 Issued in MI
Practice address
9801 M 89
Richland, MI 49083-8216
Phone
(269) 339-0889
Fax
(269) 629-0456
NPI assigned
Jul 2, 2006
Last updated
Sep 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008437 MI Primary

Addresses

Primary practice location

9801 M 89
Richland, MI 49083-8216

Mailing address

9801 M 89
Richland, MI 49083-8216
Phone (269) 339-0889

Other identifiers 2

IdentifierTypeStateIssuer
4425430MedicaidMI
950A311000OtherMIBLUE 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

Practice roles

OrganizationSpecialtyStatusNew patients
Elevated Health and Performance Chiropractic Center PLLC Chiropractor CurrentSince Aug 20, 2012 Accepting new patients
Preferred Chiropractic PLLC Chiropractor Past Accepting new patients
Prime Internists PLLC PastSince Nov 10, 2023 Accepting new patients
Preferred Chiropractic PLLC Chiropractor PastSince May 11, 2012 Accepting new patients
Shields Chiropractic LLC Chiropractor PastSince Nov 7, 2017 Accepting new patients
Quest Health Systems IV, PLLC Chiropractor PastSince Aug 20, 2012 Accepting new patients
Caring Hands Chiropractic, P.C. Chiropractor PastSince Apr 30, 2003 Accepting new patients

Locations

646 E Chicago St
Bronson, MI 49028
Phone (517) 369-1455

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1174552087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 M 89",
            "city": "RICHLAND",
            "state": "MI",
            "postal_code": "490838216",
            "telephone_number": "269-339-0889",
            "fax_number": "269-629-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 M 89",
            "city": "RICHLAND",
            "state": "MI",
            "postal_code": "490838216",
            "telephone_number": "269-339-0889",
            "fax_number": "269-629-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIGNATARO",
        "first_name": "CHARLES",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4425430",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "950A311000",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.