Individual provider Active NPI

Antonio Phillip Morici, DC

  • Chiropractor
  • Sterling Heights, MI
National Provider Identifier
1255408613
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
AM006126 Issued in MI
Practice address
43200 Dequindre Rd
Ste 150
Sterling Heights, MI 48314
Phone
(586) 997-2441
Fax
(248) 619-9703
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X AM006126 MI Primary

Addresses

Primary practice location

43200 Dequindre Rd
Ste 150
Sterling Heights, MI 48314

Mailing address

43200 Dequindre Rd
Sterling Heights, MI 48314-1707
Phone (586) 997-2441

Other identifiers 1

IdentifierTypeStateIssuer
950F354060OtherBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080917000390 MI Practitioner - Chiropractic 3577630508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2032 E Long Lake Rd
Suite C
Troy, MI 48085-3338
Phone (586) 997-2441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AM006126MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Morici Chiropractic P C Chiropractor CurrentSince Jun 3, 1994 Accepting new patients

Locations

2032 E Square Lake Rd
Ste C
Troy, MI 48085

2888 E Long Lake Rd
Ste 150
Troy, MI 48085
Phone (248) 250-9920

Organizations & group practices 1

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1255408613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43200 DEQUINDRE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141707",
            "telephone_number": "586-997-2441",
            "fax_number": "586-997-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43200 DEQUINDRE RD",
            "address_2": "STE 150",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48314",
            "telephone_number": "586-997-2441",
            "fax_number": "248-619-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORICI",
        "first_name": "ANTONIO",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "AM006126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "950F354060",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.