Organization Active NPI

Dimovski Chiropractic P.C.

  • Chiropractor
  • Brighton, MI
National Provider Identifier
1689790149
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008278 Issued in MI
Legal business name
DIMOVSKI CHIROPRACTIC P.C.
Practice address
8023 Grand River Rd
Brighton, MI 48114-9392
Phone
(810) 229-4179
Fax
(810) 229-4177
NPI assigned
Mar 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Nebojsa Nick Dimovski, D.C.NPI 1063599546
Title
Director
Phone
(248) 880-2033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301008278 MI Primary

Addresses

Primary practice location

8023 Grand River Rd
Brighton, MI 48114-9392

Mailing address

8023 Grand River Rd
Brighton, MI 48114-9392
Phone (810) 229-4179

Other identifiers 1

IdentifierTypeStateIssuer
4720897MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080718000166 IL Part B Supplier - Clinic/Group Practice 0446243588 Receives reassigned benefits from 1 practitioner
Practice locations: Palos Hills, IL

National Provider Directory

National Provider Directory

Locations

117 W Clinton St
Howell, MI 48843
Phone (517) 548-6670

Practitioners & affiliated clinicians

Practitioners 3

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": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689790149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8023 GRAND RIVER RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149392",
            "telephone_number": "810-229-4179",
            "fax_number": "810-229-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8023 GRAND RIVER RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149392",
            "telephone_number": "810-229-4179",
            "fax_number": "810-229-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMOVSKI CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIMOVSKI",
        "authorized_official_first_name": "NEBOJSA",
        "authorized_official_middle_name": "NICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-880-2033",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4720897",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, 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.
  • 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.