Individual provider Active NPI

Joshua William Sopchak, DC

  • Independent Medical Examiner Chiropractor
  • Concord Township, OH
National Provider Identifier
1730893280
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
05220 Issued in OH
Practice address
7555 Fredle Dr Ste 230
Concord Township, OH 44077-9417
Phone
(440) 352-0444
NPI assigned
Jan 10, 2023
Last updated
Jan 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner Chiropractor 111NI0013X 05220 OH Primary

Addresses

Primary practice location

7555 Fredle Dr Ste 230
Concord Township, OH 44077-9417

Mailing address

7555 Fredle Dr Ste 230
Concord Township, OH 44077-9417
Phone (440) 352-0444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230831003248 OH Practitioner - Chiropractic 6204299639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Sopchak Chiropractic Center IncGroup PAC ID 6204092646, 2 clinicians

Practice addresses (Care Compare)

7555 Fredle Dr
Suite 230
Concord TWP, OH 44077-9417
Phone (440) 352-0444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05220OHMDIndependent Medical Examiner Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sopchak Chiropractic Center Inc CurrentSince Aug 16, 2023 Accepting new patients

Locations

7555 Fredle Dr
Ste 230
Concord Township, OH 44077
Phone (440) 352-0444

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1730893280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7555 FREDLE DR STE 230",
            "city": "CONCORD TOWNSHIP",
            "state": "OH",
            "postal_code": "440779417",
            "telephone_number": "440-352-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 FREDLE DR STE 230",
            "city": "CONCORD TOWNSHIP",
            "state": "OH",
            "postal_code": "440779417",
            "telephone_number": "440-352-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOPCHAK",
        "first_name": "JOSHUA",
        "middle_name": "WILLIAM",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "OH",
            "license": "05220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord Township, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.