Individual provider Active NPI

Terry Albert Viviani, D.C.

  • Chiropractor
  • Livonia, MI
National Provider Identifier
1285756890
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005734 Issued in MI
Practice address
28182 Schoolcraft Rd
Livonia, MI 48150-2205
Phone
(734) 513-0140
Fax
(734) 513-0141
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 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 2301005734 MI Primary

Addresses

Primary practice location

28182 Schoolcraft Rd
Livonia, MI 48150-2205

Mailing address

28182 Schoolcraft Rd
Livonia, MI 48150-2205
Phone (734) 513-0140

Other identifiers 3

IdentifierTypeStateIssuer
203239701OtherMITAX ID
2301005734OtherMISTATE LICENSE NUMBER
950EO53150OtherMIBLUE CROSS PROVIDER ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070910000491 MI Practitioner - Chiropractic 6901999721 Reassigns benefits to 1 organization
Practice locations: Livonia, MI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mendelson Orthopedics PC CurrentSince May 1, 2023 Accepting new patients
Mendelson Orthopedics PC Current Accepting new patients
Mendelson Orthopedics PC CurrentSince May 1, 2023 Accepting new patients
Viviani Spinal Rehabilitation Past Accepting new patients

Locations

7684 Solutions Ctr
#777684
Chicago, IL 60677

14555 Levan Rd
Ste 215
Livonia, MI 48154
Phone (734) 542-0200

36622 5 Mile Rd
Livonia, MI 48154
Phone (734) 542-0200

500 Stephenson Hwy
#300
Troy, MI 48083
Phone (586) 439-6258

13488 E 11 Mile Rd
Warren, MI 48089
Phone (586) 439-6243

Organizations & group practices 4

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1285756890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28182 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502205",
            "telephone_number": "734-513-0140",
            "fax_number": "734-513-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28182 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502205",
            "telephone_number": "734-513-0140",
            "fax_number": "734-513-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVIANI",
        "first_name": "TERRY",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "203239701",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "2301005734",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER ID",
            "identifier": "950EO53150",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.