Individual provider Active NPI

Christine M Hanczaryk, DC

  • Chiropractor
  • Flint, MI
National Provider Identifier
1033197124
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH008867 Issued in MI
Practice address
5098 W Bristol Rd
Flint, MI 48507-2919
Phone
(810) 733-1261
Fax
(810) 733-1274
NPI assigned
Jan 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH008867 MI Primary

Addresses

Primary practice location

5098 W Bristol Rd
Flint, MI 48507-2919

Mailing address

5098 W Bristol Rd
Flint, MI 48507-2919
Phone (810) 733-1261

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041025000468 MI Practitioner - Chiropractic 4880655620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5098 W Bristol Rd
Flint, MI 48507-2919
Phone (810) 733-1261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH008867MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Chiropractic Centre, P.C. Chiropractor CurrentSince Nov 1, 2007 Accepting new patients
Hanczaryk Chiropractic Neurology Group Chiropractor Past Accepting new patients
Hanczaryk Decompression Center PLLC Chiropractor Past Accepting new patients

Locations

5098 W Bristol Rd
Flint, MI 48507
Phone (810) 733-1261

Organizations & group practices 3

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1033197124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5098 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072919",
            "telephone_number": "810-733-1261",
            "fax_number": "810-733-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5098 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072919",
            "telephone_number": "810-733-1261",
            "fax_number": "810-733-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCZARYK",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "CH008867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.