Organization Active NPI

Antoniotti Chiropractic, L.L.C.

  • Chiropractor
  • Kalamazoo, MI
National Provider Identifier
1376849422
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301002675 Issued in MI
Legal business name
ANTONIOTTI CHIROPRACTIC, L.L.C.
Practice address
1820 S Westnedge Ave
Suite 1
Kalamazoo, MI 49008-1998
Phone
(269) 344-5551
Fax
(269) 344-0094
NPI assigned
Feb 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Authorized official

Name
Dr. David Scott Antoniotti, D.C.
Title
Owner
Phone
(269) 344-5551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301002675 MI Primary

Addresses

Primary practice location

1820 S Westnedge Ave
Suite 1
Kalamazoo, MI 49008-1998

Mailing address

1820 S Westnedge Ave
Suite 1
Kalamazoo, MI 49008-1998
Phone (269) 344-5551

Other identifiers 3

IdentifierTypeStateIssuer
950C95025OtherMIBLUE CROSS BLUE SHIELD OF MICHIGAN
950C95025OtherMIMESSA
P88849OtherMIBLUE CARE NETWORK

National Provider Directory

National Provider Directory

Locations

1820 S Westnedge Ave
Ste 1
Kalamazoo, MI 49008
Phone (269) 344-5551

Practitioners & affiliated clinicians

Practitioners 2

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": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1376849422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 S WESTNEDGE AVE",
            "address_2": "SUITE 1",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081998",
            "telephone_number": "269-344-5551",
            "fax_number": "269-344-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 S WESTNEDGE AVE",
            "address_2": "SUITE 1",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081998",
            "telephone_number": "269-344-5551",
            "fax_number": "269-344-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONIOTTI CHIROPRACTIC, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "ANTONIOTTI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-344-5551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301002675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "950C95025",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MESSA",
            "identifier": "950C95025",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P88849",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.