NPIMap

Organization Active NPI

Sopchak Chiropractic Center Inc

  • Chiropractor
  • Concord TWP, OH
National Provider Identifier
1063767697
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1823 Issued in OH
Legal business name
SOPCHAK CHIROPRACTIC CENTER INC
Practice address
7555 Fredle Dr
Suite 230
Concord TWP, OH 44077-9416
Phone
(440) 352-0444
Fax
(440) 352-0456
NPI assigned
Jul 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Authorized official

Name
Dr. William J Sopchak, DCNPI 1851335541
Title
Owner
Phone
(440) 352-0444

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 MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 1823 OH Primary

Addresses

Primary practice location

7555 Fredle Dr
Suite 230
Concord TWP, OH 44077-9416

Mailing address

7555 Fredle Dr
Suite 230
Concord TWP, OH 44077-9416
Phone (440) 352-0444

Other names 1

  • Sopchak Natural Health & Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120730000417 OH Part B Supplier - Clinic/Group Practice 6204092646 Receives reassigned benefits from 2 practitioners
Practice locations: Concord TWP, OH

National Provider Directory

National Provider Directory
Tax ID family
Sopchak Chiropractic Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7555 Fredle Dr
Ste 230
Concord Township, OH 44077
Phone (440) 352-0444

Practitioners & affiliated clinicians

Practitioners 3

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": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1063767697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7555 FREDLE DR",
            "address_2": "SUITE 230",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779416",
            "telephone_number": "440-352-0444",
            "fax_number": "440-352-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 FREDLE DR",
            "address_2": "SUITE 230",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779416",
            "telephone_number": "440-352-0444",
            "fax_number": "440-352-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPCHAK CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "SOPCHAK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-352-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sopchak Natural Health & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord TWP, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.