Individual provider Active NPI

Michael David Misiak, D.C

  • Chiropractor
  • Albion, NY
National Provider Identifier
1184744823
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X007983-1 Issued in NY
Practice address
3912 Oak Orchard Rd
Albion, NY 14411-9552
Phone
(585) 589-9344
Fax
(585) 589-1178
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X007983-1 NY Primary

Addresses

Primary practice location

3912 Oak Orchard Rd
Albion, NY 14411-9552

Mailing address

3912 Oak Orchard Rd
Albion, NY 14411-9552
Phone (585) 589-9344

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111105000041 NY Practitioner - Chiropractic 7012180185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Oak Orchard Chiropractic P.C.Group PAC ID 2668645730, 2 clinicians

Practice addresses (Care Compare)

3912 Oak Orchard Rd
Albion, NY 14411-9552
Phone (585) 589-9344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X007983-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Orchard Chiropractic P.C. Chiropractor CurrentSince Oct 18, 1996 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1184744823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 OAK ORCHARD RD",
            "city": "ALBION",
            "state": "NY",
            "postal_code": "144119552",
            "telephone_number": "585-589-9344",
            "fax_number": "585-589-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3912 OAK ORCHARD RD",
            "city": "ALBION",
            "state": "NY",
            "postal_code": "144119552",
            "telephone_number": "585-589-9344",
            "fax_number": "585-589-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISIAK",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007983-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albion, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.