Organization Active NPI

Zanoni Chiropractic Center PC

  • Chiropractor
  • Saint Clair Shores, MI
National Provider Identifier
1396949350
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
JZ007810 Issued in MI
Legal business name
ZANONI CHIROPRACTIC CENTER PC
Practice address
29050 Harper Ave
Saint Clair Shores, MI 48081-1200
Phone
(586) 774-0091
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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

Authorized official

Name
Dr. Joseph M Zanoni, DCNPI 1346224813
Title
President
Phone
(586) 774-0091

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X JZ007810 MI Primary

Addresses

Primary practice location

29050 Harper Ave
Saint Clair Shores, MI 48081-1200

Mailing address

22206 Visnaw St
Saint Clair Shores, MI 48081-1245
Phone (586) 206-1910

Other identifiers 1

IdentifierTypeStateIssuer
950E053270OtherMIBLUE CROSS BLUE SHIELD MI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070728000200 MI Part B Supplier - Clinic/Group Practice 3274634605 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Clair Shores, MI

National Provider Directory

National Provider Directory

Locations

29040 Harper Ave
Saint Clair Shores, MI 48081
Phone (586) 774-0091

29050 Harper Ave
#C
Saint Clair Shores, MI 48081
Phone (586) 774-0091

29050 Harper Ave
St Clr Shores, MI 48081
Phone (586) 774-0091

Practitioners & affiliated clinicians

Practitioners 4

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": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1396949350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22206 VISNAW ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811245",
            "telephone_number": "586-206-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29050 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811200",
            "telephone_number": "586-774-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZANONI CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "ZANONI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-774-0091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "JZ007810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "950E053270",
            "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 Jul 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.