Individual provider Active NPI

William D Vecchioni, DC

  • Chiropractor
  • Dearborn Heights, MI
National Provider Identifier
1871573998
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004654 Issued in MI
Practice address
4218 Pelham
Dearborn Heights, MI 48125-3121
Phone
(313) 277-1100
Fax
(313) 277-5787
NPI assigned
Jan 17, 2006
Last updated
Oct 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301004654 MI Primary

Addresses

Primary practice location

4218 Pelham
Dearborn Heights, MI 48125-3121

Mailing address

4218 Pelham
Dearborn Heights, MI 48125-3121
Phone (313) 277-1100

Other identifiers 1

IdentifierTypeStateIssuer
0Q25074OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101122000594 MI Practitioner - Chiropractic 5496941072 Practice locations: Dearborn Heights, MI

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4218 Pelham St
Dearborn Heights, MI 48125-3121
Phone (313) 277-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1871573998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218 PELHAM",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481253121",
            "telephone_number": "313-277-1100",
            "fax_number": "313-277-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218 PELHAM",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481253121",
            "telephone_number": "313-277-1100",
            "fax_number": "313-277-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VECCHIONI",
        "first_name": "WILLIAM",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0Q25074",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.