# JOHN PISPIDIKIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1497708200
- **Gender:** Man
- **Credential:** NP-C, DC, DACNB

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC8263 | TX | — |
| 111NN0400X | Neurology Chiropractor | 2301009328 | MI | — |
| 363L00000X | Nurse Practitioner | 4704287416 | MI | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 12/07/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 002102403 | — | TX |
| 01 | — | 8M8882 | BCBS | TX |
| 01 | — | 8P2242 | BCBS | TX |
| 01 | — | 8P5600 | BCBS | TX |
| 01 | — | 8R1720 | BCBS | TX |