Utica Chiropractic Clinic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

002873 Issued in MI

Legal business name

UTICA CHIROPRACTIC CLINIC, P.C.

Practice address

45200 Sterritt St
Suite 102
Utica, MI 48317-5844

Phone

(586) 739-6080

NPI assigned

Jun 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard B Dybowski, DCNPI 1093773228

Title

President

Phone

(586) 739-6080

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Richard B Dybowski, D.C.

  • Chiropractor
  • Utica, MI
  • NPI 1093773228
  Authorized official Same address or phone

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013956804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45200 STERRITT ST",
            "address_2": "SUITE 102",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175844",
            "telephone_number": "586-739-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45200 STERRITT ST",
            "address_2": "SUITE 102",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175844",
            "telephone_number": "586-739-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTICA CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DYBOWSKI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-739-6080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "002873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2090221",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian A Torok, MD
• Alexandra Treat, MA. LPC
• Ums Home Health Care Inc
• Utica ASC Partners, LLC (Utica Surgery Center; Utica Surgery and Endoscopy)
• Utica Chiropractic Clinic of Michigan, PC
• Utica Physical Therapy Inc
• Utica Shelby Urgent Care PC
• Kamala J Vanaharam, MD
• Clint Verran
• Lyubov Voyevidko, NP

• Chiropractor in Utica, MI
• Providers in Utica, MI by specialty
• Chiropractor in Michigan

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.