John Pispidikis, NP-C, DC, DACNB

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704287416 Issued in MI

Practice address

2243 E 12 Mile Rd
Warren, MI 48092-5644

Phone

(214) 717-1859

Fax

(586) 573-8100

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Chiropractic

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Medcare Inc

  • Rehabilitation Chiropractor
  • Warren, MI
  • NPI 1265713242
  Medicare reassignment NPD Authorized official
• Medcare, Inc

  • Family Nurse Practitioner
  • Warren, MI
  • NPI 1679986814
  NPD Authorized official
• A Medical Advantage Healthcare Systems Associated

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1477505592

  Nurse Practitioner

  NPD (past)
• Bexar County Healthcare Systems

  • Social Worker
  • San Antonio, TX
  • NPI 1124070248

  Chiropractor

  NPD (past)
• Ennis Healthcare Systems Inc

  • Chiropractor
  • Ennis, TX
  • NPI 1881646941
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1497708200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2243 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480925644",
            "telephone_number": "214-717-1859",
            "fax_number": "586-573-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2243 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480925644",
            "telephone_number": "214-717-1859",
            "fax_number": "586-573-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISPIDIKIS",
        "first_name": "JOHN",
        "credential": "NP-C, DC, DACNB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704287416",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC8263",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "MI",
            "license": "2301009328",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002102403",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8R1720",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8P2242",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8P5600",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8M8882",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Pillow, LMSW
• Melissa Pini, LPC
• Franklin Charles Pinkham, LLMSW, BCBA
• Barry S. Pinsky, D.D.S.
• Pioneer Laboratory Services, L.L.C.
• Katherine J Pitus, DO
• Christina Pizzimenti
• Platinum Care Home Health Services, Inc.
• Andrea Ann Plewka, P.T.
• Jillian Noel Plieth

• Nurse Practitioner in Warren, MI
• Providers in Warren, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.