The Neurology Center PLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301073404 Issued in MI

Legal business name

THE NEUROLOGY CENTER PLC

Practice address

23 N Hanchett St
Coldwater, MI 49036-1652

Phone

(517) 278-3412

Fax

(517) 278-6115

NPI assigned

Apr 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Dimosthenis Costantinos Dafnis, M.D.NPI 1609807478

Title

Owner

Phone

(517) 278-3412

Specialties & licenses 1

Addresses

Other identifiers 3

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.

• Dimosthenis Costantinos Dafnis, MD

  • Neurology Physician
  • Coldwater, MI
  • NPI 1609807478
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1306011440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 N HANCHETT ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361652",
            "telephone_number": "517-278-3412",
            "fax_number": "517-278-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 N HANCHETT ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361652",
            "telephone_number": "517-278-3412",
            "fax_number": "517-278-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEUROLOGY CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "DAFNIS",
        "authorized_official_first_name": "DIMOSTHENIS",
        "authorized_official_middle_name": "COSTANTINOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-278-3412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301073404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130019309",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBA",
            "identifier": "0530097",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MICHIGAN",
            "identifier": "1301200592",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• The Family Practice and Orthopedic Care Center PLLC
• The Mindful Collective, LLC
• Amaryllis Marvel Thomas
• Monica Joann Thomas
• Heather Thornton, PTA
• Rose Mary Thornton, LLMSW
• Kiarra Ann Thrush, BT

• Specialist in Coldwater, MI
• Providers in Coldwater, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.