Organization Active NPI

Wojciak Enterprises Inc

  • Nutrition Chiropractor
  • Prescott, AZ
National Provider Identifier
1184765398
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
7784 Issued in AZ
Legal business name
WOJCIAK ENTERPRISES INC
Practice address
1590 Willow Creek Rd
Prescott, AZ 86301-1141
Phone
(928) 227-1899
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Authorized official

Name
Benjamin B Wojciak, DCNPI 1477600823
Title
Owner
Phone
(928) 227-1899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X 7784 AZ Primary

Addresses

Primary practice location

1590 Willow Creek Rd
Prescott, AZ 86301-1141

Mailing address

1590 Willow Creek Rd
Prescott, AZ 86301-1141
Phone (928) 227-1899

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070228000055 AZ Part B Supplier - Clinic/Group Practice 2860594496 Receives reassigned benefits from 5 practitioners
Practice locations: Prescott, AZ

National Provider Directory

National Provider Directory

Locations

1590 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 227-1899

607 W Gurley St
Prescott, AZ 86305
Phone (928) 227-1899

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1184765398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011141",
            "telephone_number": "928-227-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011141",
            "telephone_number": "928-227-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOJCIAK ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "WOJCIAK",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-227-1899",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "AZ",
            "license": "7784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.

Verify at the official NPI Registry.