Gregory Clark Swistak, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S01873 Issued in MD

Practice address

60 Market St
215
Gaithersburg, MD 20878-6548

Phone

(301) 963-8333

Fax

(301) 963-9330

NPI assigned

Oct 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Swistak Chiropractic PC

  dba Active Family Chiropractic

  • Chiropractor
  • Gaithersburg, MD
  • NPI 1336213479

  DC

  Medicare reassignment NPD Authorized official
• White Flint Medical & Natural Healing Center

  • Rehabilitation Chiropractor
  • Rockville, MD
  • NPI 1578788899
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619052735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 CHEVY CHASE ST",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208786466",
            "telephone_number": "301-518-2622"
        },
        {
            "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": {
        "last_name": "SWISTAK",
        "first_name": "GREGORY",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J9770001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P3449828",
            "identifier": "1ST HEALTH",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "606996-02189B",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10435522",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "624464",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER/ACN",
            "identifier": "224657",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3638973",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7662053",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaila Swann, LMSW
• Yvonne Nacion Swann, PMHNP-BC
• Albert Terry Sweeney, DDS
• Madeline Swerdlow, M.A. CF-SLP
• Swistak Chiropractic PC (Active Family Chiropractic)
• Katelyn Sword
• Sy-Med Decompression Inc. (Spinal Decompression & Disc Centers of America)
• Aisha Syed, DMD
• Taylor Nakitia Sykes
• Synergy Rehab Center LLC

• 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 Jul 8, 2007; 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.