Organization Active NPI

Total Health Zone SC

  • Chiropractor
  • Iron Mountain, MI
National Provider Identifier
1053643718
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2341-012 Issued in WI
Legal business name
TOTAL HEALTH ZONE SC
Doing business as
Nowicki Chiropractic & Wellness
Practice address
W8065 S US Highway 2/141
Suite 1
Iron Mountain, MI 49801-9494
Phone
(906) 779-1300
Fax
(906) 779-1333
NPI assigned
Feb 5, 2010
Organization subpart
Yes
Parent organization
TOTAL HEALTH ZONE SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Authorized official

Name
Dr. John E Nowicki, DC
Title
President
Phone
(906) 779-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2341-012 WI Primary

Addresses

Primary practice location

W8065 S US Highway 2/141
Suite 1
Iron Mountain, MI 49801-9494

Mailing address

W8065 S US Highway 2/141
Suite 1
Iron Mountain, MI 49801-9494
Phone (906) 779-1300

Other identifiers 3

IdentifierTypeStateIssuer
000035131OtherWIMEDICARE ID
4217348MedicaidMI
38844000MedicaidWI

Other names 1

  • Nowicki Chiropractic & Wellness Doing business as

National Provider Directory

National Provider Directory
Part of
Total Health Zone SC

Locations

1625 Roosevelt Rd
Niagara, WI 54151
Phone (715) 251-3727

1625 Roosevelt Rd
Niagara, WI 54151
Phone (715) 251-3727

NPI Registry JSON

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1053643718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W8065 S US HIGHWAY 2/141",
            "address_2": "SUITE 1",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498019494",
            "telephone_number": "906-779-1300",
            "fax_number": "906-779-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W8065 S US HIGHWAY 2/141",
            "address_2": "SUITE 1",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498019494",
            "telephone_number": "906-779-1300",
            "fax_number": "906-779-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH ZONE SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOTAL HEALTH ZONE SC",
        "enumeration_date": "2010-02-05",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "NOWICKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "906-779-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2341-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "000035131",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4217348",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38844000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nowicki Chiropractic & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iron Mountain, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.