Active NPI
Total Health Zone SC
- Chiropractor
- Iron Mountain, MI
National Provider Identifier
1053643718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2341-012
- 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 SC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000035131 | Other | WI | MEDICARE ID |
| 4217348 | Medicaid | MI | |
| 38844000 | Medicaid | WI |
Other names 1
- Nowicki Chiropractic & Wellness
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.