Organization Active NPI

Frattini Chiropractic Services PC

  • Chiropractor
  • Saint Clair Shores, MI
National Provider Identifier
1568766533
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FRATTINI CHIROPRACTIC SERVICES PC
Practice address
22701 Greater Mack Ave
Saint Clair Shores, MI 48080-2007
Phone
(586) 777-6056
Fax
(586) 775-7246
NPI assigned
Jan 5, 2011
Last updated
Jan 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Authorized official

Name
Mrs. Carla Margaret Hoylock
Title
Manager
Phone
(586) 777-6056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

22701 Greater Mack Ave
Saint Clair Shores, MI 48080-2007

Mailing address

22701 Greater Mack Ave
Saint Clair Shores, MI 48080-2007
Phone (586) 777-6056

Other identifiers 4

IdentifierTypeStateIssuer
141979434MedicaidMI
OEO5199OtherMIBCBS
TR077OtherMIPPOM
95OEO51990OtherMIBCN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110120000127 MI Part B Supplier - Clinic/Group Practice 4880873082 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Clair Shores, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1568766533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22701 GREATER MACK AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802007",
            "telephone_number": "586-777-6056",
            "fax_number": "586-775-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22701 GREATER MACK AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802007",
            "telephone_number": "586-777-6056",
            "fax_number": "586-775-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRATTINI CHIROPRACTIC SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "HOYLOCK",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "586-777-6056",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141979434",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "OEO5199",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPOM",
            "identifier": "TR077",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "95OEO51990",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.