Individual provider Active NPI

Steven Przezdziecki, D.C.

  • Chiropractor
  • Chicopee, MA
National Provider Identifier
1265543243
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1925 Issued in MA
Practice address
333 Front St
Chicopee, MA 01013-3194
Phone
(413) 598-8550
Fax
(413) 598-8556
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1925 MA Primary

Addresses

Primary practice location

333 Front St
Chicopee, MA 01013-3194

Mailing address

333 Front St
Chicopee, MA 01013-3194
Phone (413) 598-8550

Other identifiers 5

IdentifierTypeStateIssuer
2552470OtherMAAETNA
000000034224OtherMABMC HEALTH NET
8461730OtherMACIGNA
1612042OtherMAMASSHEALTH
Y36393OtherMABLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040329000227 MA Practitioner - Chiropractic 7012809627 Reassigns benefits to 1 organization
Practice locations: Chicopee, MA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

333 Front St
Suite 2
Chicopee, MA 01013-2798

Hospital & facility affiliations

  • Baystate Medical Center Hospital, Springfield, MA, CCN 220077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1925MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chicopee Center Chiropractic, Inc. Chiropractor CurrentSince Apr 2, 2012 Accepting new patients

Locations

333 Front St
Ste 2
Chicopee, MA 01013
Phone (413) 598-8550

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1265543243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 FRONT ST",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010133194",
            "telephone_number": "413-598-8550",
            "fax_number": "413-598-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 FRONT ST",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010133194",
            "telephone_number": "413-598-8550",
            "fax_number": "413-598-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRZEZDZIECKI",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2552470",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTH NET",
            "identifier": "000000034224",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8461730",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSHEALTH",
            "identifier": "1612042",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y36393",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicopee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.