Organization Active NPI

Silbert Chiropractic Clinic PC

  • Chiropractor
  • Southgate, MI
National Provider Identifier
1699862359
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005473 Issued in MI
Legal business name
SILBERT CHIROPRACTIC CLINIC PC
Practice address
13700 Fort St
Southgate, MI 48195-1153
Phone
(734) 285-0020
Fax
(734) 285-0512
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Authorized official

Name
Dr. David Silbert, D.C.NPI 1922000876
Title
President
Phone
(734) 285-0020

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 2301005473 MI Primary

Addresses

Primary practice location

13700 Fort St
Southgate, MI 48195-1153

Mailing address

13700 Fort St
Southgate, MI 48195-1153
Phone (734) 285-0020

Other identifiers 2

IdentifierTypeStateIssuer
443963114MedicaidMI
950H25160OtherMIBLUE CROSS BLUE SHEILD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110324000778 MI Part B Supplier - Clinic/Group Practice 9032392287 Receives reassigned benefits from 1 practitioner
Practice locations: Wyandotte, MI

National Provider Directory

National Provider Directory

Locations

13700 Fort St
Southgate, MI 48195
Phone (313) 285-0020

2258 Eureka Rd
Wyandotte, MI 48192
Phone (734) 285-0020

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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1699862359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 FORT ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951153",
            "telephone_number": "734-285-0020",
            "fax_number": "734-285-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 FORT ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951153",
            "telephone_number": "734-285-0020",
            "fax_number": "734-285-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILBERT CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "SILBERT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-285-0020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "443963114",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "950H25160",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.