Individual provider Active NPI

Steven L Vergote, DC

  • Chiropractor
  • Clinton Township, MI
National Provider Identifier
1619492287
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005218 Issued in MI
Practice address
35525 Garfield Rd Ste B
Clinton Township, MI 48035-5521
Phone
(586) 477-1800
Fax
(586) 477-1815
NPI assigned
Aug 4, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 2301005218 MI Primary

Addresses

Primary practice location

35525 Garfield Rd Ste B
Clinton Township, MI 48035-5521

Mailing address

35525 Garfield Rd Ste B
Clinton Township, MI 48035-5521
Phone (586) 477-1800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170915001911 MI Practitioner - Chiropractic 8729352646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mediterranean Association PLLCGroup PAC ID 1456533199, 3 clinicians

Practice addresses (Care Compare)

35525 Garfield Rd
Suite B
Clinton Township, MI 48035-5521
Phone (586) 477-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301005218MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mediterranean Association PLLC Chiropractor CurrentSince Aug 7, 2017 Accepting new patients
John M Dimasi DC PC Chiropractor PastSince Aug 7, 2017 Accepting new patients

Locations

35525 Garfield Rd
Ste B
Clinton Twp, MI 48035
Phone (586) 477-1800

Organizations & group practices 2

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": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1619492287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35525 GARFIELD RD STE B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480355521",
            "telephone_number": "586-477-1800",
            "fax_number": "586-477-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35525 GARFIELD RD STE B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480355521",
            "telephone_number": "586-477-1800",
            "fax_number": "586-477-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGOTE",
        "first_name": "STEVEN",
        "middle_name": "L",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005218",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 21, 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.