Active NPI
Michael Henry Dzirbowicz, D.C.
- Chiropractor
- Ada, MI
National Provider Identifier
1114063658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301008554
- Practice address
- 6739 Fulton St E
Suite C-20
Ada, MI 49301-8138 - Phone
- (616) 676-2888
- Fax
- (616) 676-4299
- NPI assigned
- Jan 30, 2007
- Last updated
- Jun 18, 2008
- 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 | 2301008554 | MI | Primary |
Addresses
Primary practice location
6739 Fulton St E
Suite C-20
Ada, MI 49301-8138
Mailing address
6739 Fulton St E
Suite C-20
Ada, MI 49301-8138
Phone (616) 676-2888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD008554 | Other | MI | COMMERCIAL INSURANCE |
| 950D151680 | Other | MI | BLUE CROSS ID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6739 Fulton St E
Suite C 20
Ada, MI 49301-9601
Phone (616) 676-2888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301008554 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dzirbowicz Chiropractic, PLC | Chiropractor | Current | Accepting new patients |
Locations
6739 Fulton St E
Ste C-20
Ada, MI 49301
Phone (616) 676-2888
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213747200000",
"number": "1114063658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6739 FULTON ST E",
"address_2": "SUITE C-20",
"city": "ADA",
"state": "MI",
"postal_code": "493018138",
"telephone_number": "616-676-2888",
"fax_number": "616-676-4299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6739 FULTON ST E",
"address_2": "SUITE C-20",
"city": "ADA",
"state": "MI",
"postal_code": "493018138",
"telephone_number": "616-676-2888",
"fax_number": "616-676-4299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DZIRBOWICZ",
"first_name": "MICHAEL",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2008-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301008554",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL INSURANCE",
"identifier": "MD008554",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ID NUMBER",
"identifier": "950D151680",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ada, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.