Active NPI
Andrew C Stopczynski, DC
- Chiropractor
- West Bend, WI
National Provider Identifier
1083774152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3495-012
- Practice address
- 1624 Clarence CT
West Bend, WI 53095-8533 - Phone
- (262) 334-4847
- Fax
- (262) 334-5554
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3495-012 | WI | Primary |
Addresses
Primary practice location
1624 Clarence CT
West Bend, WI 53095-8533
Mailing address
1624 Clarence CT
West Bend, WI 53095-8533
Phone (262) 334-4847
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38946700 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040701000405 | WI | Practitioner - Chiropractic | 0042297780 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3495-012 | WI | MD | Chiropractor |
| 3495 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Motus Chiropractic & Spine Rehab SC | Current | Accepting new patients | |
| Brugger Chiropractic S.C. | Chiropractor | Current | Accepting new patients |
| Intergrated Pain and Spine Care SC | Past | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Past | Accepting new patients | |
| Chiropractic Company S.C. | Chiropractor | Past | Accepting new patients |
Locations
5261 N Port Washington Rd
Ste 101
Glendale, WI 53217
Phone (414) 332-6001
1524 S Green Bay Rd
Ste 103
Mount Pleasant, WI 53406
Phone (262) 884-7580
1624 Clarence Ct
West Bend, WI 53095
Phone (262) 334-4847
Organizations & group practices 6
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.
-
- Chiropractor
- West Bend, WI
- NPI 1720185796
-
- Chiropractor
- Glendale, WI
- NPI 1972667913
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
-
- Rehabilitation Chiropractor
- Milwaukee, WI
- NPI 1457861007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318550400000",
"number": "1083774152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1624 CLARENCE CT",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530958533",
"telephone_number": "262-334-4847",
"fax_number": "262-334-5554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1624 CLARENCE CT",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530958533",
"telephone_number": "262-334-4847",
"fax_number": "262-334-5554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOPCZYNSKI",
"first_name": "ANDREW",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2011-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3495-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38946700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Bend, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.