Individual provider Active NPI

Edward Paul Hybza, D.C.

  • Chiropractor
  • Manistee, MI
National Provider Identifier
1033194014
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005953 Issued in MI
Practice address
331 4TH St
Manistee, MI 49660-2917
Phone
(231) 723-7743
Fax
(231) 887-4574
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301005953 MI Primary

Addresses

Primary practice location

331 4TH St
Manistee, MI 49660-2917

Mailing address

331 4TH St
Manistee, MI 49660-2917
Phone (231) 723-7743

Other identifiers 2

IdentifierTypeStateIssuer
350027184OtherMIRAILROAD MEDICARE
950E150020OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101103000450 MI Practitioner - Chiropractic 0345434361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

331 4TH St
Manistee, MI 49660-2917
Phone (231) 723-7743

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Edward P Hybza PC Chiropractor CurrentSince Nov 3, 2010 Accepting new patients

Locations

331 4th St
#P
Manistee, MI 49660
Phone (231) 723-7743

50 Filer St
Ste 216
Manistee, MI 49660
Phone (231) 723-2221

331 4th St
Manistee, MI 49660
Phone (231) 723-7743

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1033194014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 4TH ST",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496602917",
            "telephone_number": "231-723-7743",
            "fax_number": "231-887-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 4TH ST",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496602917",
            "telephone_number": "231-723-7743",
            "fax_number": "231-887-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYBZA",
        "first_name": "EDWARD",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350027184",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "950E150020",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manistee, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.