Individual provider Active NPI

Nicholas Palladinelli, DC

  • Chiropractor
  • Sterling Heights, MI
National Provider Identifier
1497319172
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010801 Issued in MI
Practice address
44777 Hayes Rd Ste a
Sterling Heights, MI 48313-1421
Phone
(586) 209-4236
NPI assigned
Apr 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010801 MI Primary

Addresses

Primary practice location

44777 Hayes Rd Ste a
Sterling Heights, MI 48313-1421

Mailing address

13718 Sterling Oaks Dr
Sterling Heights, MI 48313-4381
Phone (586) 615-4496

Other names 1

  • Dr. Nicholas Palladinelli Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL jane

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220225000691 MI Practitioner - Chiropractic 6103210752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

44777 Hayes Rd
Suite a
Sterling Heights, MI 48313-1421
Phone (586) 209-4236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301010801MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Theodore M. Koukles DC PC CurrentSince Feb 13, 2022 Accepting new patients
Next Generation Chiropractic Chiropractor CurrentSince Feb 8, 2022 Accepting new patients
Atlas Wellness LLC Chiropractor PastSince Sep 8, 2019 Accepting new patients

Locations

44777 Hayes Rd
Ste A
Sterling Heights, MI 48313
Phone (586) 209-4236

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1556323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1497319172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13718 STERLING OAKS DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483134381",
            "telephone_number": "586-615-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44777 HAYES RD STE A",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131421",
            "telephone_number": "586-209-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLADINELLI",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-27",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "jane",
            "affiliation": "N",
            "address_1": "44777 Hayes Rd Ste A",
            "city": "Sterling Heights",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483131421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NICHOLAS",
            "last_name": "PALLADINELLI",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.