Individual provider Active NPI

Sharon M Bianco, D.C.

  • Chiropractor
  • Allen Park, MI
National Provider Identifier
1306905260
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005375 Issued in MI
Practice address
5000 Allen Rd
Allen Park, MI 48101-2918
Phone
(313) 386-1050
Fax
(313) 386-2103
NPI assigned
Dec 7, 2006
Last updated
Apr 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 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 2301005375 MI Primary

Addresses

Primary practice location

5000 Allen Rd
Allen Park, MI 48101-2918

Mailing address

5000 Allen Rd
Allen Park, MI 48101-2918
Phone (313) 386-1050

Other identifiers 2

IdentifierTypeStateIssuer
950Q250020OtherMIBCBS
4441756-14MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111129000024 MI Practitioner - Chiropractic 5799959904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hofmann Chiropractic Clinic, P.C.Group PAC ID 0446208177, 2 clinicians

Practice addresses (Care Compare)

5000 Allen Rd
Allen Park, MI 48101-2918
Phone (313) 386-1050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005375MIMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hofmann Chiropractic Clinic, P.C. Chiropractor CurrentSince May 12, 1998 Accepting new patients

Locations

5000 Allen Rd
Allen Park, MI 48101
Phone (313) 386-1050

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, 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": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1306905260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 ALLEN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012918",
            "telephone_number": "313-386-1050",
            "fax_number": "313-386-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 ALLEN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012918",
            "telephone_number": "313-386-1050",
            "fax_number": "313-386-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCO",
        "first_name": "SHARON",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950Q250020",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4441756-14",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.