Individual provider Active NPI

Ricci Paige Swiderek, DC

  • Chiropractor
  • Bay Harbor, MI
National Provider Identifier
1417501602
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010836 Issued in MI
Practice address
2780 Charlevoix Rd Ste 19
Bay Harbor, MI 49770-8058
Phone
(231) 881-9391
Fax
(231) 881-9392
NPI assigned
Jul 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010836 MI Primary

Addresses

Primary practice location

2780 Charlevoix Rd Ste 19
Bay Harbor, MI 49770-8058

Mailing address

2780 Charlevoix Rd Ste 19
Bay Harbor, MI 49770-8058
Phone (231) 881-9391

Other identifiers 1

IdentifierTypeStateIssuer
14504880OtherMICAQH

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.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190808002503 MI Practitioner - Chiropractic 8820325186 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Align Chiropractic Company PLLC Chiropractor CurrentSince May 12, 2025 Accepting new patients

Locations

2780 Charlevoix Rd
Ste 12
Petoskey, MI 49770
Phone (231) 489-8008

NPI Registry JSON

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1417501602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 CHARLEVOIX RD STE 19",
            "city": "BAY HARBOR",
            "state": "MI",
            "postal_code": "497708058",
            "telephone_number": "231-881-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 CHARLEVOIX RD STE 19",
            "city": "BAY HARBOR",
            "state": "MI",
            "postal_code": "497708058",
            "telephone_number": "231-881-9391",
            "fax_number": "231-881-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIDEREK",
        "first_name": "RICCI",
        "middle_name": "PAIGE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14504880",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Harbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.