Individual provider Active NPI

Abigail Noel Vivoda, D.C.

  • Chiropractor
  • Greenville, MI
National Provider Identifier
1316377328
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010142 Issued in MI
Practice address
10324 Hathaway Dr
Greenville, MI 48838-8126
Phone
(616) 328-9461
NPI assigned
Nov 13, 2013
Last updated
Jan 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010142 MI Primary

Addresses

Primary practice location

10324 Hathaway Dr
Greenville, MI 48838-8126

Mailing address

10324 Hathaway Dr
Greenville, MI 48838-8126
Phone (616) 328-9461

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2301010142MIMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1316377328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10324 HATHAWAY DR",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488388126",
            "telephone_number": "616-328-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10324 HATHAWAY DR",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488388126",
            "telephone_number": "616-328-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVODA",
        "first_name": "ABIGAIL",
        "middle_name": "NOEL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-13",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.