Organization Active NPI

Specific Chiropractic Inc.

  • Chiropractor
  • Shelby Township, MI
National Provider Identifier
1982664223
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008199 Issued in MI
Legal business name
SPECIFIC CHIROPRACTIC INC.
Practice address
54989 Shelby Rd
Shelby Township, MI 48316-1448
Phone
(248) 656-7194
Fax
(248) 656-7195
NPI assigned
Mar 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brain Anthony Scolari, D.C.
Title
President
Phone
(248) 656-7194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008199 MI Primary

Addresses

Primary practice location

54989 Shelby Rd
Shelby Township, MI 48316-1448

Mailing address

54989 Shelby Rd
Shelby Township, MI 48316-1448
Phone (248) 656-7194

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040710000340 MI Part B Supplier - Clinic/Group Practice 7618955162 Receives reassigned benefits from 2 practitioners
Practice locations: Shelby Township, MI

National Provider Directory

National Provider Directory

Locations

54989 Shelby Rd
Shelby Township, MI 48316
Phone (248) 656-7194

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982664223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54989 SHELBY RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483161448",
            "telephone_number": "248-656-7194",
            "fax_number": "248-656-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54989 SHELBY RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483161448",
            "telephone_number": "248-656-7194",
            "fax_number": "248-656-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIFIC CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOLARI",
        "authorized_official_first_name": "BRAIN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-656-7194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.