Active NPI
Dana Chirico, CNIM
- Electroneurodiagnostic Specialist/Technologist
- Wixom, MI
National Provider Identifier
1346732401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Practice address
- 28345 Beck Road
Ste. 103
Wixom, MI 48393 - Phone
- (813) 624-3128
- NPI assigned
- Jun 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary |
Addresses
Primary practice location
28345 Beck Road
Ste. 103
Wixom, MI 48393
Mailing address
28345 Beck Road
Ste. 103
Wixom, MI 48393
Phone (813) 624-3128
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4144 | Other | ABRET CNIM |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600387200000",
"number": "1346732401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28345 BECK ROAD",
"address_2": "STE. 103",
"city": "WIXOM",
"state": "MI",
"postal_code": "48393",
"telephone_number": "813-624-3128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28345 BECK ROAD",
"address_2": "STE. 103",
"city": "WIXOM",
"state": "MI",
"postal_code": "48393",
"telephone_number": "813-624-3128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIRICO",
"first_name": "DANA",
"credential": "CNIM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-05",
"last_updated": "2020-09-18",
"certification_date": "2020-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ABRET CNIM",
"identifier": "4144",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Wixom, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.