Active NPI
Adam Russell Fasick, DC
- Chiropractor
- Howell, MI
National Provider Identifier
1235168121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- AF008301
- Practice address
- 3220 E Grand River Ave
Howell, MI 48843-8563 - Phone
- (517) 376-6836
- Fax
- (517) 376-6862
- NPI assigned
- Jul 2, 2006
- Last updated
- Oct 18, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | AF008301 | MI | Primary |
Addresses
Primary practice location
3220 E Grand River Ave
Howell, MI 48843-8563
Mailing address
3220 E Grand River Ave
Howell, MI 48843-8563
Phone (517) 376-6836
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138952 | Other | MI | PREFERRED CHOICES PPO ID |
| 200334885 | Other | MI | PPOM ID |
| 950D710500 | Other | MI | BCBS ID |
| 1235168121 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3220 E Grand River Ave
Howell, MI 48843-8563
Phone (517) 376-6836
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AF008301 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corporate Health Solutions, Inc | Chiropractor | Past | Accepting new patients |
| Quest Health Systems IX, PLLC | Chiropractor | Past | Accepting new patients |
| Quest Health Systems X PLLC | Chiropractor | Past | Accepting new patients |
| Dixon Chiropractic PLLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1235168121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 E GRAND RIVER AVE",
"city": "HOWELL",
"state": "MI",
"postal_code": "488438563",
"telephone_number": "517-376-6836",
"fax_number": "517-376-6862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 E GRAND RIVER AVE",
"city": "HOWELL",
"state": "MI",
"postal_code": "488438563",
"telephone_number": "517-376-6836",
"fax_number": "517-376-6862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASICK",
"first_name": "ADAM",
"middle_name": "RUSSELL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-02",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "AF008301",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CHOICES PPO ID",
"identifier": "138952",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPOM ID",
"identifier": "200334885",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID",
"identifier": "950D710500",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235168121",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Howell, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.