Individual provider Active NPI

David Sirovica, D.C.

  • Chiropractor
  • Niles, MI
National Provider Identifier
1811583966
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301011022 Issued in MI
Practice address
109 S Lincoln Ave
Niles, MI 49120-2917
Phone
(269) 684-7822
Fax
(269) 684-7088
NPI assigned
Dec 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301011022 MI Primary

Addresses

Primary practice location

109 S Lincoln Ave
Niles, MI 49120-2917

Mailing address

109 S Lincoln Ave
Niles, MI 49120-2917
Phone (269) 684-7822

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Niles Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2301011022MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Thompson Family Chiropractic and Wellness Center P.C. Chiropractor CurrentSince Aug 28, 2022 Accepting new patients
Pure Motion Chiropractic PLLC Chiropractor CurrentSince Sep 1, 2022 Accepting new patients

Locations

109 S Lincoln Ave
Niles, MI 49120
Phone (269) 684-7288

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": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1811583966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S LINCOLN AVE",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202917",
            "telephone_number": "269-684-7822",
            "fax_number": "269-684-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S LINCOLN AVE",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202917",
            "telephone_number": "269-684-7822",
            "fax_number": "269-684-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIROVICA",
        "first_name": "DAVID",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301011022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Niles",
            "affiliation": "N",
            "endpointDescription": "ChiroTouch",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "109 S Lincoln Ave",
            "city": "Niles",
            "state": "MI",
            "country_code": "US",
            "postal_code": "491202917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Niles, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.

Verify at the official NPI Registry.