Domenick PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301008818 Issued in MI

Legal business name

DOMENICK PLLC

Practice address

4085 S Center Rd
Burton, MI 48519-1957

Phone

(810) 744-4251

Fax

(810) 744-1039

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Wayne E Domenick, DCNPI 1396743852

Title

Doctor Owner

Phone

(810) 744-4251

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

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

• Wayne E Domenick, D.C.

  • Chiropractor
  • Goodrich, MI
  • NPI 1396743852
  Medicare reassignment NPD Authorized official
• Robert P Markle, D.C.

  • Chiropractor
  • Bay City, MI
  • NPI 1982828539
  NPD (past)
• Sandra Kay Markle, D.C.

  • Chiropractor
  • Bay City, MI
  • NPI 1568686012
  NPD (past)
• Glenn Arnold Partridge, D.C.

  • Chiropractor
  • Durand, MI
  • NPI 1205986981
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1780724070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191957",
            "telephone_number": "810-744-4251",
            "fax_number": "810-744-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4085 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191957",
            "telephone_number": "810-744-4251",
            "fax_number": "810-744-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMENICK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "DOMENICK",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "810-744-4251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "950B514920",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "950B518000",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chantel Didominicis
• Giovanni M Digiannantonio, MD
• Adam Michael Dill
• Kyaera Doan
• Maryanne Dobson, LCSW
• Ashley Nicole Dominy
• Jada Donald-Boose
• Thomas Joseph Dotson Jr., LLPC
• Hope Dowaliby Bowan
• DPT Holdings LLC

• Chiropractor in Burton, MI
• Providers in Burton, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.