Individual provider Active NPI

David Scott Antoniotti, D.C.

  • Chiropractor
  • Kalamazoo, MI
National Provider Identifier
1629063078
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DA002675 Issued in MI
Practice address
1820 S Westnedge Ave
Suite 1
Kalamazoo, MI 49008-1998
Phone
(269) 344-5551
Fax
(269) 344-0094
NPI assigned
Sep 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DA002675 MI Primary

Addresses

Primary practice location

1820 S Westnedge Ave
Suite 1
Kalamazoo, MI 49008-1998

Mailing address

1820 S Westnedge Ave
Suite 1
Kalamazoo, MI 49008-1998
Phone (269) 344-5551

Other identifiers 3

IdentifierTypeStateIssuer
95OC95025OtherMIBLUE CROSS BLUE SHIELD
95OC95025OtherMIMESSA
P88849OtherMIBLUE CARE NETWORK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DA002675MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Long Family Chiropractic Chiropractor PastSince May 11, 2025 Accepting new patients
Stroupe Chiropractic LLC Chiropractor Past Accepting new patients

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1629063078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 S WESTNEDGE AVE",
            "address_2": "SUITE 1",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081998",
            "telephone_number": "269-344-5551",
            "fax_number": "269-344-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 S WESTNEDGE AVE",
            "address_2": "SUITE 1",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081998",
            "telephone_number": "269-344-5551",
            "fax_number": "269-344-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONIOTTI",
        "first_name": "DAVID",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "DA002675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "95OC95025",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MESSA",
            "identifier": "95OC95025",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P88849",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.