Michael Lee Ciervo, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X08461 Issued in NY

Practice address

18 Skyway Shopping Ctr
Plattsburgh, NY 12901-3873

Phone

(518) 561-4444

Fax

(518) 561-9865

NPI assigned

Jan 10, 2011

Last updated

Jan 10, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Choice Spine Joint & Neurology,PC

  • Physical Therapist
  • Rocky Point, NY
  • NPI 1114124161
  NPD (past)

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1811291545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SKYWAY SHOPPING CTR",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129013873",
            "telephone_number": "518-561-4444",
            "fax_number": "518-561-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 SKYWAY SHOPPING CTR",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129013873",
            "telephone_number": "518-561-4444",
            "fax_number": "518-561-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIERVO",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X08461",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC221",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jungjin Lee Choe
• Christopher Goodell, DMD, PLLC (Happy Camper Pediatric Dentistry)
• Carmen Antonia Chroback, LCSW
• Boris Y Chulpayev, MD
• Margaret Cielecki, DMD
• George A Ciolac, M.D.
• Amy Lynn Ciolek, RN
• City of Plattsburgh
• Lorna Jayne Clark-Rubin, MD
• Ashley Clark, LMHC

• Chiropractor in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.