Organization Active NPI

Paschket Chiropractic Clinic P C

  • Chiropractor
  • Flushing, MI
National Provider Identifier
1063581619
Registry record updated Oct 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DP002974 Issued in MI
Legal business name
PASCHKET CHIROPRACTIC CLINIC P C
Practice address
133 N Cherry St
Flushing, MI 48433-1601
Phone
(810) 659-2020
Fax
(810) 659-0310
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2008

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

Authorized official

Name
Dr. David John Paschket, D.C.NPI 1225123037
Title
President
Phone
(810) 659-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DP002974 MI Primary

Addresses

Primary practice location

133 N Cherry St
Flushing, MI 48433-1601

Mailing address

PO Box 328
Flushing, MI 48433-0328
Phone (810) 659-2020

Other identifiers 1

IdentifierTypeStateIssuer
950B513060OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050311000831 MI Part B Supplier - Clinic/Group Practice 1951355932 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, MI

National Provider Directory

National Provider Directory

Locations

133 N Cherry St
Flushing, MI 48433
Phone (810) 659-2020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1063581619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 328",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484330328",
            "telephone_number": "810-659-2020",
            "fax_number": "810-659-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 N CHERRY ST",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484331601",
            "telephone_number": "810-659-2020",
            "fax_number": "810-659-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASCHKET CHIROPRACTIC CLINIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "PASCHKET",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-659-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "DP002974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "950B513060",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.