Individual provider Active NPI

James Michael Dankovich, D.C.

  • Chiropractor
  • Birmingham, MI
National Provider Identifier
1821130105
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301002915 Issued in MI
Practice address
1173 S Adams Rd
Birmingham, MI 48009-7101
Phone
(248) 644-9495
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301002915 MI Primary

Addresses

Primary practice location

1173 S Adams Rd
Birmingham, MI 48009-7101

Mailing address

1173 S Adams Rd
Birmingham, MI 48009-7101
Phone (248) 644-9495

Other identifiers 4

IdentifierTypeStateIssuer
16665OtherMIMCARE PROVIDER NUMBER
950F35087OtherMIBCBS PROVIDER NUMBER
P43098OtherMIBLUE CARE NTWK.PROV.#
649803OtherMIACN PROVIDER NUMBER

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301002915MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Birmingham Chiropractic Clinic PC Chiropractor PastSince Jul 1, 2007 Accepting new patients

Organizations & group practices 1

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821130105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1173 S ADAMS RD",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480097101",
            "telephone_number": "248-644-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1173 S ADAMS RD",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480097101",
            "telephone_number": "248-644-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANKOVICH",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301002915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE PROVIDER NUMBER",
            "identifier": "16665",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "950F35087",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NTWK.PROV.#",
            "identifier": "P43098",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN PROVIDER NUMBER",
            "identifier": "649803",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.