Individual provider Active NPI

Michael Druzbik, D.C.

  • Chiropractor
  • Statesville, NC
National Provider Identifier
1770656340
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2944 Issued in NC
Practice address
1835 Davie Ave Ste 417
Statesville, NC 28677-3578
Phone
(704) 878-9744
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2944 NC Primary

Addresses

Primary practice location

1835 Davie Ave Ste 417
Statesville, NC 28677-3578

Mailing address

PO Box 26
Statesville, NC 28687-0026
Phone (704) 878-9744

Other identifiers 2

IdentifierTypeStateIssuer
89085CTMedicaidNC
085CTOtherNCBLUE CROSS BLUE SHIELD NC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040303000466 NC Practitioner - Chiropractic 5395632418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Druzbik Family Chiropractic, Inc.Group PAC ID 0547157554, 2 clinicians

Practice addresses (Care Compare)

1835 Davie Ave
Suite 417
Statesville, NC 28677-3578
Phone (704) 878-9744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2944NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Druzbik Family Chiropractic, Inc. Chiropractor CurrentSince Jul 20, 2003 Accepting new patients
Luke a Bennett LLC Chiropractor Past Accepting new patients

Locations

1835 Davie Ave
Ste 417
Statesville, NC 28677
Phone (704) 878-9744

Organizations & group practices 2

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1770656340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286870026",
            "telephone_number": "704-878-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 DAVIE AVE STE 417",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773578",
            "telephone_number": "704-878-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUZBIK",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085CT",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "085CT",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.