Active NPI
John Joseph Migliazzo, DC
- Chiropractor
- Saint Clair Shores, MI
National Provider Identifier
1366529422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301007036
- Practice address
- 28404 Harper Ave
Saint Clair Shores, MI 48081-1607 - Phone
- (586) 775-6500
- Fax
- (586) 775-6591
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301007036 | MI | Primary |
Addresses
Primary practice location
28404 Harper Ave
Saint Clair Shores, MI 48081-1607
Mailing address
28404 Harper Ave
Saint Clair Shores, MI 48081-1607
Phone (586) 775-6500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95OE052550 | Other | MI | BCBSM |
| 3267532 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
28404 Harper Ave
Saint Clair Shores, MI 48081-1607
Phone (586) 775-6500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301007036 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shores Chiropractic Center, PC | Chiropractor | Current | Accepting new patients |
Locations
28404 Harper Ave
St Clr Shores, MI 48081
Phone (586) 209-4432
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 and National Provider Directory roles.
-
- Chiropractor
- Saint Clair Shores, MI
- NPI 1154585404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1366529422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28404 HARPER AVE",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480811607",
"telephone_number": "586-775-6500",
"fax_number": "586-775-6591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28404 HARPER AVE",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480811607",
"telephone_number": "586-775-6500",
"fax_number": "586-775-6591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIGLIAZZO",
"first_name": "JOHN",
"middle_name": "JOSEPH",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301007036",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "95OE052550",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3267532",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.