Organization Active NPI

David a. Guzzardo, P.C.

  • Chiropractor
  • Clinton Township, MI
National Provider Identifier
1487783569
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301300311 Issued in MI
Legal business name
DAVID A. GUZZARDO, P.C.
Practice address
39725 Garfield Rd
Clinton Township, MI 48038-2799
Phone
(586) 286-6616
Fax
(586) 286-5194
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

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

Authorized official

Name
Dr. David Anthony Guzzardo, D.C.NPI 1891724787
Title
President
Phone
(586) 286-6616

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301300311 MI Primary

Addresses

Primary practice location

39725 Garfield Rd
Clinton Township, MI 48038-2799

Mailing address

39725 Garfield Rd
Clinton Township, MI 48038-2799
Phone (586) 286-6616

Other identifiers 3

IdentifierTypeStateIssuer
0E02305OtherMIBLUE CROSS OF MI
0E02305OtherMIBLUE CARE NETWORK OF MI
144316471MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080711000579 MI Part B Supplier - Clinic/Group Practice 4284706938 Receives reassigned benefits from 2 practitioners
Practice locations: Clinton Township, MI

National Provider Directory

National Provider Directory

Locations

39725 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-5442

Practitioners & affiliated clinicians

Practitioners 3

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": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1487783569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39725 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480382799",
            "telephone_number": "586-286-6616",
            "fax_number": "586-286-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39725 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480382799",
            "telephone_number": "586-286-6616",
            "fax_number": "586-286-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A. GUZZARDO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "GUZZARDO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-286-6616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301300311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MI",
            "identifier": "0E02305",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK OF MI",
            "identifier": "0E02305",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144316471",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; 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.