Individual provider Active NPI

Nicholas Steven Doinidis, D.C.

  • Chiropractor
  • Novi, MI
National Provider Identifier
1770630428
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301002994 Issued in MI
Practice address
24037 Meadowbrook Rd
Novi, MI 48375-3456
Phone
(248) 348-7530
Fax
(248) 348-7766
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301002994 MI Primary

Addresses

Primary practice location

24037 Meadowbrook Rd
Novi, MI 48375-3456

Mailing address

24037 Meadowbrook Rd
Novi, MI 48375-3456
Phone (248) 348-7530

Other identifiers 3

IdentifierTypeStateIssuer
0F35108OtherMIBLUE CROSS BLUE SHIELD OF MICHIGAN
350039500OtherMIRAILROAD MEDICARE
2099880MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080811000358 MI Practitioner - Chiropractic 0840364774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Doinidis Chiropractic Health Center, PLLC Chiropractor CurrentSince Feb 8, 1979 Accepting new patients
Novi Health & Wellness PLLC Chiropractor PastSince Sep 8, 2024 Accepting new patients

Locations

24037 Meadowbrook Rd
Novi, MI 48375
Phone (248) 348-7350

24520 Meadowbrook Rd
Ste 200
Novi, MI 48375
Phone (248) 348-7530

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1770630428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24037 MEADOWBROOK RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483753456",
            "telephone_number": "248-348-7530",
            "fax_number": "248-348-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24037 MEADOWBROOK RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483753456",
            "telephone_number": "248-348-7530",
            "fax_number": "248-348-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOINIDIS",
        "first_name": "NICHOLAS",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301002994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "0F35108",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350039500",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2099880",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.