Active NPI
Guy Charles Giordano, D.C.
- Chiropractor
- Holt, MI
National Provider Identifier
1710012794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- GG006617
- Practice address
- 4573 Willoughby Rd Ste B
Holt, MI 48842-2188 - Phone
- (517) 699-2646
- Fax
- (517) 699-5434
- NPI assigned
- Feb 22, 2007
- Last updated
- Apr 16, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | GG006617 | MI | Primary |
Addresses
Primary practice location
4573 Willoughby Rd Ste B
Holt, MI 48842-2188
Mailing address
4573 Willoughby Rd Ste B
Holt, MI 48842-2188
Phone (517) 699-2646
Other practice location 1
2120 Grand River Anx Ste 100
Brighton, MI 48114-7390
Phone (810) 225-7190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950D710590 | Other | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| GG006617 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spinal Care Specialist PLLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Southfield, MI
- NPI 1417432824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586995200000",
"number": "1710012794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4573 WILLOUGHBY RD STE B",
"city": "HOLT",
"state": "MI",
"postal_code": "488422188",
"telephone_number": "517-699-2646",
"fax_number": "517-699-5434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4573 WILLOUGHBY RD STE B",
"city": "HOLT",
"state": "MI",
"postal_code": "488422188",
"telephone_number": "517-699-2646",
"fax_number": "517-699-5434"
}
],
"practiceLocations": [
{
"address_1": "2120 Grand River Anx Ste 100",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "MI",
"postal_code": "481147390",
"country_code": "US",
"telephone_number": "810-225-7190",
"fax_number": "810-225-7192",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIORDANO",
"first_name": "GUY",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2020-04-16",
"certification_date": "2020-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "GG006617",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "950D710590",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holt, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.