Adam Ryan Mandziuk, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009309 Issued in MI

Practice address

53316 Van Dyke Ave
Shelby TWP, MI 48316-1821

Phone

(586) 781-0900

Fax

(586) 781-8450

NPI assigned

Jan 31, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Star Chiropractic LLC

  • Chiropractor
  • Rochester, MI
  • NPI 1730326885
  Medicare reassignment NPD Authorized official
• Chiropractic Natural Health Center, P.C.

  • Chiropractor
  • Rochester, MI
  • NPI 1316035124
  NPD (past)
• Fiori P.C. Bassett Family Chiropractic P.C.

  • Chiropractor
  • Shelby Township, MI
  • NPI 1134275183
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229558400000",
    "number": "1063559532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 CHAMBERLAIN AVE",
            "city": "ROSCOMMON",
            "state": "MI",
            "postal_code": "48653",
            "telephone_number": "404-550-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53316 VAN DYKE AVE",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483161821",
            "telephone_number": "586-781-0900",
            "fax_number": "586-781-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDZIUK",
        "first_name": "ADAM",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Denise Maley, COTA
• Rene Denise Malinovich, FNP-BC
• Chad M Maloney, O.D.
• Boby Philip Manalel, PT
• Ramy Mando, M.D.
• Mary Manni
• Rebecca A Manring, PT
• Candice Ann Mansoor, M.D.
• Mark R Sullivan DDS
• James Martin

• Chiropractor in Shelby TWP, MI
• Providers in Shelby TWP, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; 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.