Individual provider Active NPI

Scott A Selik, D.C.

  • Chiropractor
  • Southfield, MI
National Provider Identifier
1174615819
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005844 Issued in MI
Practice address
27321 Collingwood Dr
Southfield, MI 48033-2230
Phone
(248) 242-1000
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301005844 MI Primary

Addresses

Primary practice location

27321 Collingwood Dr
Southfield, MI 48033-2230

Mailing address

27321 Collingwood Dr
Southfield, MI 48034-2230
Phone (248) 357-1414

Other identifiers 1

IdentifierTypeStateIssuer
950F334730OtherMIBCBS

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

State licenses

LicenseStateTypeSpecialty
2301005844MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Unlimited, LLC PastSince Jan 12, 2015 Accepting new patients
Quest Health Systems VII, PLLC Chiropractor PastSince Nov 1, 2008 Accepting new patients

Organizations & group practices 2

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1174615819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27321 COLLINGWOOD DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480342230",
            "telephone_number": "248-357-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27321 COLLINGWOOD DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332230",
            "telephone_number": "248-242-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELIK",
        "first_name": "SCOTT",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950F334730",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.