Active NPI
David a. Guzzardo, P.C.
- Chiropractor
- Clinton Township, MI
National Provider Identifier
1487783569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301300311
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0E02305 | Other | MI | BLUE CROSS OF MI |
| 0E02305 | Other | MI | BLUE CARE NETWORK OF MI |
| 144316471 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Clinton Township, MI
- NPI 1891724787
-
- Chiropractor
- Rochester Hills, MI
- NPI 1558663864
-
- Physical Medicine & Rehabilitation Physician
- Jackson, MI
- NPI 1952373078
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.