Cody Mircovich

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

15527 Issued in TX

Practice address

1061 N Coleman St Ste 10
Prosper, TX 75078-2318

Phone

(469) 296-1049

NPI assigned

Apr 13, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifeclinic Chiropractic of Texas LLCGroup PAC ID 6002121027, 20 clinicians

Curis Functional HealthGroup PAC ID 6709207590, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lifeclinic Chiropractic of Texas, LLC

  • Chiropractor
  • Allen, TX
  • NPI 1417347899
  Medicare reassignment Care Compare group NPD
• Curis Functional Health

  • Chiropractor
  • Dallas, TX
  • NPI 1023508116
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1962198911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 N COLEMAN ST STE 10",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 N COLEMAN ST STE 10",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782318",
            "telephone_number": "469-296-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRCOVICH",
        "first_name": "CODY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassie S Mills, LPC
• Chelsea Milwood
• Mind and Therapy Clinic
• Lauren Mings
• Anish Mirchandani, D.O.
• Mirror Image Surgical Assisting LLC
• Mispine & Joint Care PLLC
• Mission Colon & Rectal Specialists PLLC
• Zach William Mitchell
• Trisha Modi

• Chiropractor in Prosper, TX
• Providers in Prosper, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.