Individual provider Active NPI

Michael John Gasiewicz, D.C.

  • Chiropractor
  • Warren, MI
National Provider Identifier
1124453360
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010119 Issued in MI
Practice address
27253 Van Dyke Ave
Warren, MI 48093-2858
Phone
(586) 459-5692
Fax
(586) 459-5635
NPI assigned
Sep 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010119 MI Primary

Addresses

Primary practice location

27253 Van Dyke Ave
Warren, MI 48093-2858

Mailing address

37037 Twin CT
Sterling Heights, MI 48312-2178
Phone (586) 265-1260

Other practice location 1

30900 Ford Rd
Suite C
Garden City, MI 48135-1892
Phone (734) 838-0353

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131114001811 MI Practitioner - Chiropractic 3375779689 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16453 Chatham Dr
Macomb, MI 48044-4071

27253 Van Dyke Ave
Warren, MI 48093-2858

30900 Ford Rd C
Garden City, MI 48135-1892

431 Summit St
Elgin, IL 60120-3805

569 E 9 Mile Rd
Ferndale, MI 48220-1952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301010119MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Medcare Inc CurrentSince Aug 10, 2023 Accepting new patients
Dr. Bridget a. Devlin, PLLC Chiropractor CurrentSince Jul 20, 2022 Accepting new patients
Michigan Chiropractic Specialists of Waterford, P.C. Chiropractor Past Accepting new patients

Locations

569 E 9 Mile Rd
Ferndale, MI 48220
Phone (248) 298-3100

2243 E 12 Mile Rd
Warren, MI 48092
Phone (586) 573-8100

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": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1124453360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37037 TWIN CT",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483122178",
            "telephone_number": "586-265-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27253 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932858",
            "telephone_number": "586-459-5692",
            "fax_number": "586-459-5635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30900 Ford Rd",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "MI",
            "postal_code": "481351892",
            "country_code": "US",
            "telephone_number": "734-838-0353",
            "fax_number": "734-838-0359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GASIEWICZ",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-06",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.