Organization Active NPI

Andrew Stopczynski Inc

  • Chiropractor
  • Oostburg, WI
National Provider Identifier
1265611453
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3495-012 Issued in WI
Legal business name
ANDREW STOPCZYNSKI INC
Practice address
1205 Wisconsin Ave
Oostburg, WI 53070-1104
Phone
(920) 564-6672
Fax
(920) 564-6673
NPI assigned
Oct 24, 2007
Last updated
Oct 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Dr. Andrew Stopczynski, DC
Title
President
Phone
(920) 564-6672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3495-012 WI Primary

Addresses

Primary practice location

1205 Wisconsin Ave
Oostburg, WI 53070-1104

Mailing address

PO Box 700125
Oostburg, WI 53070-0125
Phone (920) 564-6672

Other identifiers 2

IdentifierTypeStateIssuer
38946700MedicaidWI
1083774152OtherWINPI INDIVIDUAL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1265611453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700125",
            "city": "OOSTBURG",
            "state": "WI",
            "postal_code": "530700125",
            "telephone_number": "920-564-6672",
            "fax_number": "920-564-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 WISCONSIN AVE",
            "city": "OOSTBURG",
            "state": "WI",
            "postal_code": "530701104",
            "telephone_number": "920-564-6672",
            "fax_number": "920-564-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW STOPCZYNSKI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "STOPCZYNSKI",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-564-6672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3495-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38946700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1083774152",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oostburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.