Active NPI
Paschket Chiropractic Clinic P C
- Chiropractor
- Flushing, MI
National Provider Identifier
1063581619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DP002974
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950B513060 | Other | MI | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Flushing, MI
- NPI 1225123037
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.