NPIMap

Organization Active NPI

Soma Care, PC

  • Chiropractor
  • Warren, MI
National Provider Identifier
1659577344
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009328 Issued in MI
Legal business name
SOMA CARE, PC
Practice address
3456 E 12 Mile Rd
Suite 2
Warren, MI 48092-2511
Phone
(586) 573-8100
NPI assigned
Jun 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John Pispidikis, DC
Title
President
Phone
(214) 797-2082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301009328 MI Primary

Addresses

Primary practice location

3456 E 12 Mile Rd
Suite 2
Warren, MI 48092-2511

Mailing address

3456 E 12 Mile Rd
Suite 2
Warren, MI 48092-2511
Phone (586) 573-8100

Other names 1

  • Spinal Recovery Center Doing business as

National Provider Directory

National Provider Directory

Locations

3456 E 12 Mile Rd
Ste 2
Warren, MI 48092
Phone (586) 354-7179

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659577344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3456 E 12 MILE RD",
            "address_2": "SUITE 2",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480922511",
            "telephone_number": "586-573-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3456 E 12 MILE RD",
            "address_2": "SUITE 2",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480922511",
            "telephone_number": "586-573-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMA CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PISPIDIKIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-797-2082",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spinal Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.