DAVID SCOTT SEVERANCE (NPI# 1760082465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760082465 |
Entity Type | Individual |
Full Name | DAVID SCOTT SEVERANCE |
Credential | DC |
Practice Address |
11720 Tompkins Rd Rives Junction MI 49277-9629 |
Practice Telephone | 5174358636 |
Mailing Telephone | 5174358636 |
Enumeration Date | 2020-10-30 |
Last Update Date | 2020-10-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2301011014 | MI | Chiropractic Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740257658 | David A Severance | Family Medicine | 4100 E Mississippi Ave, Glendale, CO 80246-3048 | 2006-03-01 |
Street Address |
11720 TOMPKINS RD |
City | RIVES JUNCTION |
State | MI |
Zip Code | 49277-9629 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992313142 | Richard L Baldwin | Counselor | 6564 Grand River Rd., Rives Junction, MI 49277 | 2020-07-14 |
1851740427 | Ryan Wade Armstrong | Technician, Other | 5713 Grand River Rd, Rives Junction, MI 49277-9684 | 2016-06-06 |
1366002073 | Vintage Specialized Services LLC | Nurse Practitioner | 2055 Perrine Rd, Rives Junction, MI 49277-9735 | 2019-06-14 |
1568973154 | Superior Living Homes, LLC | Meals | 10699 Crabapple Ln, Rives Junction, MI 49277-9746 | 2017-10-23 |
1942525506 | Jolene Ruth Cox | Massage Therapist | 123 Palmer St, Rives Junction, MI 49277-9749 | 2010-04-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992313142 | Richard L Baldwin | Counselor | 6564 Grand River Rd., Rives Junction, MI 49277 | 2020-07-14 |
1366002073 | Vintage Specialized Services LLC | Nurse Practitioner | 2055 Perrine Rd, Rives Junction, MI 49277-9735 | 2019-06-14 |
1568973154 | Superior Living Homes, LLC | Meals | 10699 Crabapple Ln, Rives Junction, MI 49277-9746 | 2017-10-23 |
1851740427 | Ryan Wade Armstrong | Technician, Other | 5713 Grand River Rd, Rives Junction, MI 49277-9684 | 2016-06-06 |
1942525506 | Jolene Ruth Cox | Massage Therapist | 123 Palmer St, Rives Junction, MI 49277-9749 | 2010-04-06 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548860240 | Moriah K Severance | Chiropractor | 2449 W Kimmel Rd, Jackson, MI 49201-9783 | 2020-10-30 |
1760082705 | Kelly Chiropractic Clinic, LLC | Chiropractor | 3179 12 Mile Rd, Berkley, MI 48072-1339 | 2020-10-29 |
1619584273 | Sydnee Laree Rutledge | Chiropractor | 3634 Mccain Rd Ste 7, Jackson, MI 49203-2576 | 2020-09-28 |
1790391860 | Ferras Dassouki | Chiropractor | 1126 Hunter Ct, Milford, MI 48381-3180 | 2020-09-23 |
1811503972 | Nicholas Heiserman | Chiropractor | 498 E Monroe St, Dundee, MI 48131-1321 | 2020-09-23 |
1114532835 | Pro-active Chiropractic Wellness of Grand Rapids | Chiropractor | 4270 Plainfield Ave Ne # E, Grand Rapids, MI 49525-1603 | 2020-09-10 |
1215540463 | Lake State Chiropractic Pllc | Chiropractor | 2155 84th St Sw Ste 4, Byron Center, MI 49315-8259 | 2020-08-27 |
1609488402 | Primrose Family Chiropractic and Wellness Center | Chiropractor | 25900 Greenfield Rd Suite 252, Oak Park, MI 48237-1297 | 2020-08-21 |
1780295063 | Wilhelm Family Chiropractic and Massage Pllc | Chiropractor | 23200 Pontiac Trl, South Lyon, MI 48178-1983 | 2020-08-11 |
1639789522 | Ian Shepstone | Chiropractor | 139 W Michigan Ave, Grass Lake, MI 49240-9188 | 2020-08-05 |
Find all providers with the same taxonomy |
City | RIVES JUNCTION |
Zip Code | 49277 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.