Organization Active NPI

Stachowicz Chiropractic, LLC

Doing business as Stachowicz Chiropractic

  • Chiropractor
  • Muskegon, MI
National Provider Identifier
1629540620
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
STACHOWICZ CHIROPRACTIC, LLC
Doing business as
Stachowicz Chiropractic
Practice address
896 E Apple Ave
Muskegon, MI 49442-3738
Phone
(231) 773-4716
NPI assigned
Jan 2, 2019
Last updated
Jan 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Authorized official

Name
Dr. Josef Bernard Stachowicz, DCNPI 1265997498
Title
Partner/Member
Phone
(231) 215-0518

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

896 E Apple Ave
Muskegon, MI 49442-3738

Mailing address

896 E Apple Ave
Muskegon, MI 49442-3738
Phone (231) 773-4716

Other names 1

  • Stachowicz Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200213002444 MI Part B Supplier - Clinic/Group Practice 0648606467 Receives reassigned benefits from 2 practitioners
Practice locations: Muskegon, MI

National Provider Directory

National Provider Directory

Locations

896 E Apple Ave
Muskegon, MI 49442
Phone (231) 773-4716

Practitioners & affiliated clinicians

Practitioners 3

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": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546387200000",
    "number": "1629540620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "896 E APPLE AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494423738",
            "telephone_number": "231-773-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "896 E APPLE AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494423738",
            "telephone_number": "231-773-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACHOWICZ CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A",
        "authorized_official_last_name": "STACHOWICZ",
        "authorized_official_first_name": "JOSEF",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "PARTNER/MEMBER",
        "authorized_official_telephone_number": "231-215-0518",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stachowicz Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.