Organization Active NPI

Silverback, Inc.

  • Chiropractor
  • South Lyon, MI
National Provider Identifier
1811903313
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008293 Issued in MI
Legal business name
SILVERBACK, INC.
Practice address
12516 Ten Mile Rd
South Lyon, MI 48178-8171
Phone
(248) 437-7991
Fax
(248) 437-6327
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Authorized official

Name
Dr. Brian J Canadi, D.C.NPI 1609882828
Title
Owner
Phone
(248) 437-7991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301008293 MI Primary

Addresses

Primary practice location

12516 Ten Mile Rd
South Lyon, MI 48178-8171

Mailing address

9851 Atwood Dr
South Lyon, MI 48178-9111
Phone (248) 437-7355

Other identifiers 1

IdentifierTypeStateIssuer
95 0F377450OtherMIBLUE CROSS BLUE SHIELD

Other names 1

  • Discover Chiropractic Now Doing business as

National Provider Directory

National Provider Directory

Locations

12516 10 Mile Rd
South Lyon, MI 48178
Phone (248) 437-7991

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1811903313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9851 ATWOOD DR",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481789111",
            "telephone_number": "248-437-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12516 TEN MILE RD",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481788171",
            "telephone_number": "248-437-7991",
            "fax_number": "248-437-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERBACK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "CANADI",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-437-7991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "95 0F377450",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Discover Chiropractic Now",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Lyon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.