Individual provider Active NPI

Ashley Elizabeth Stalmack, D.C.

  • Chiropractor
  • Pinckney, MI
National Provider Identifier
1124377601
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009946 Issued in MI
Practice address
422 S Dexter St
Pinckney, MI 48169-9070
Phone
(734) 878-3113
Fax
(248) 714-1443
NPI assigned
Aug 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009946 MI Primary

Addresses

Primary practice location

422 S Dexter St
Pinckney, MI 48169-9070

Mailing address

422 S Dexter St
Pinckney, MI 48169-9070
Phone (734) 878-3113

Other identifiers 1

IdentifierTypeStateIssuer
ON75510OtherMIMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130405000284 MI Practitioner - Chiropractic 1951546373 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novi Holistic HealthGroup PAC ID 8729340856, 3 clinicians

Practice addresses (Care Compare)

422 S Dexter St
Pinckney, MI 48169-9070
Phone (734) 878-3113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301009946MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Novi Holistic Health CurrentSince Mar 12, 2018 Accepting new patients
Susan N Blaskay DC PC Chiropractor CurrentSince Aug 7, 2018 Accepting new patients
Michigan Chiropractic Specialists of Waterford, P.C. Chiropractor PastSince Dec 12, 2017 Accepting new patients

Locations

4763 S Old US 23
Ste A1
Brighton, MI 48114
Phone (734) 489-1607

11837 Merriman Rd
Livonia, MI 48150
Phone (734) 421-0101

39525 W 14 Mile Rd
Ste 100
Novi, MI 48377
Phone (248) 242-2123

422 S Dexter St
Pinckney, MI 48169
Phone (734) 878-3113

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1124377601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 S DEXTER ST",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481699070",
            "telephone_number": "734-878-3113",
            "fax_number": "248-714-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 S DEXTER ST",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481699070",
            "telephone_number": "734-878-3113",
            "fax_number": "248-714-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALMACK",
        "first_name": "ASHLEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2023-10-12",
        "certification_date": "2021-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "ON75510",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinckney, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.

Verify at the official NPI Registry.