NPIMap

Organization Active NPI

Delta Chiropractic Associates,Inc

  • Chiropractor
  • Escanaba, MI
National Provider Identifier
1376765461
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
991807 Issued in MI
Legal business name
DELTA CHIROPRACTIC ASSOCIATES,INC
Practice address
500 Ludington St
Escanaba, MI 49829-3926
Phone
(906) 789-5868
Fax
(906) 789-5636
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Dr. Brian Scott Moravec, DC,BC
Title
President
Phone
(906) 789-5868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 991807 MI Primary

Addresses

Primary practice location

500 Ludington St
Escanaba, MI 49829-3926

Mailing address

500 Ludington St
Escanaba, MI 49829-3926
Phone (906) 789-5868

National Provider Directory

National Provider Directory

Locations

500 Ludington St
Escanaba, MI 49829
Phone (906) 786-5520

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1376765461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LUDINGTON ST",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498293926",
            "telephone_number": "906-789-5868",
            "fax_number": "906-789-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LUDINGTON ST",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498293926",
            "telephone_number": "906-789-5868",
            "fax_number": "906-789-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA CHIROPRACTIC ASSOCIATES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "MORAVEC",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "906-789-5868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC,BC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "991807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escanaba, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.