Swistak Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S01873 Issued in MD

Legal business name

SWISTAK CHIROPRACTIC PC

Doing business as

Active Family Chiropractic

Practice address

60 Market St
215
Gaithersburg, MD 20878-6548

Phone

(301) 963-8333

Fax

(301) 963-9330

NPI assigned

Nov 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Clark Swistak, DCNPI 1619052735

Title

President

Phone

(301) 963-8333

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Active Family Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 2

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.

• Gregory Clark Swistak, D.C.

  • Chiropractor
  • Gaithersburg, MD
  • NPI 1619052735

  DC

  Medicare reassignment NPD Authorized official
• Wei Z Zhao, ACUPUNCTURIST LIC.

  • Acupuncturist
  • Gaithersburg, MD
  • NPI 1235343724
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336213479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MARKET ST",
            "address_2": "215",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208786548",
            "telephone_number": "301-963-8333",
            "fax_number": "301-963-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MARKET ST",
            "address_2": "215",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208786548",
            "telephone_number": "301-963-8333",
            "fax_number": "301-963-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWISTAK CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWISTAK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-963-8333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "224657",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1ST HEALTH",
            "identifier": "3449828",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMD",
            "identifier": "606996-02",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7662053",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3638973",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FED",
            "identifier": "9770001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "5544592",
            "identifier": "FIRST HEALTH",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Swann
• Kaila Swann, LMSW
• Yvonne Nacion Swann, PMHNP-BC
• Albert Terry Sweeney, DDS
• Madeline Swerdlow, M.A. CF-SLP
• Gregory Clark Swistak, D.C.
• Katelyn Sword
• Sy-Med Decompression Inc. (Spinal Decompression & Disc Centers of America)
• Aisha Syed, DMD
• Taylor Nakitia Sykes

• Chiropractor in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.