Individual provider Active NPI

Michael John Hudak, D.C.

  • Chiropractor
  • Murrells Inlet, SC
National Provider Identifier
1205995974
Registry record updated Jun 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2222 Issued in SC
Practice address
10799 Highway 707
Ste 3
Murrells Inlet, SC 29576-9819
Phone
(843) 651-2522
Fax
(843) 651-2499
NPI assigned
Dec 8, 2006
Last updated
Jun 26, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2222 SC Primary

Addresses

Primary practice location

10799 Highway 707
Ste 3
Murrells Inlet, SC 29576-9819

Mailing address

10799 Highway 707
Ste 3
Murrells Inlet, SC 29576-9819
Phone (843) 651-2522

Other identifiers 1

IdentifierTypeStateIssuer
CH2222MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120517000441 SC Practitioner - Chiropractic 2062675804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10799 Hwy 707
Suite 3
Murrells Inlet, SC 29576-9819
Phone (843) 650-2522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2222SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hudak Chiropractic & Wellness Center PC Chiropractor CurrentSince Jun 1, 2001 Accepting new patients

Locations

10799 Highway 707
Ste 3
Murrells Inlt, SC 29576
Phone (843) 333-9540

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498435200000",
    "number": "1205995974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10799 HIGHWAY 707",
            "address_2": "STE 3",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295769819",
            "telephone_number": "843-651-2522",
            "fax_number": "843-651-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10799 HIGHWAY 707",
            "address_2": "STE 3",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295769819",
            "telephone_number": "843-651-2522",
            "fax_number": "843-651-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDAK",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2017-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2222",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; 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.