Antovich Chiropractic Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

DC0209030 Issued in CA

Legal business name

ANTOVICH CHIROPRACTIC INC

Practice address

9156 Elk Grove Blvd
Elk Grove, CA 95624-2013

Phone

(916) 684-4100

Fax

(916) 684-5299

NPI assigned

Apr 11, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Todd Jay Antovich, D.C.NPI 1710993951

Title

President

Phone

(916) 684-4100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Todd J. Antovich, D.C.

  • Chiropractor
  • Elk Grove, CA
  • NPI 1710993951
  Medicare reassignment NPD Authorized official
• Carol A. Antovich, P.T.

  • Physical Therapist
  • Elk Grove, CA
  • NPI 1306850649
  NPD (past)
• Ian Antovich, DC

  • Chiropractor
  • Elk Grove, CA
  • NPI 1598416216
  NPD (past)

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1740547082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9156 ELK GROVE BLVD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242013",
            "telephone_number": "916-684-4100",
            "fax_number": "916-684-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9156 ELK GROVE BLVD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242013",
            "telephone_number": "916-684-4100",
            "fax_number": "916-684-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTOVICH CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "ANTOVICH",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-684-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "DC0209030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DC0209030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Another Choice Another Chance
• Another Choice Another Chance
• Adeela N Ansari, M.D.
• Jessica-Michaella Alvarez Antipuesto
• Antoninas Care Home
• Carol A. Antovich, P.T.
• Ian Antovich, DC
• Todd J. Antovich, D.C.
• Concepcion Antunez Betancourt
• Ariana Giti Anwarzay, MHRS

• Clinic/Center in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.