NPIMap

Individual provider Active NPI

Nick Edward Czyzewski, D.C.

  • Chiropractor
  • Howell, MI
National Provider Identifier
1790083897
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008070 Issued in MI
Practice address
1600 Town Commons Dr
Suite 104
Howell, MI 48855-6807
Phone
(517) 540-6780
Fax
(517) 540-6782
NPI assigned
Mar 14, 2011
Last updated
Oct 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008070 MI Primary

Addresses

Primary practice location

1600 Town Commons Dr
Suite 104
Howell, MI 48855-6807

Mailing address

1600 Town Commons Dr
Suite 104
Howell, MI 48855-6807
Phone (517) 540-6780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2301008070MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ken Rakowicz DC PC Chiropractor Past Accepting new patients
Ryan Lucas Chiropractic PC Chiropractor PastSince Aug 15, 2005 Accepting new patients

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": "1300060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1790083897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 TOWN COMMONS DR",
            "address_2": "SUITE 104",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488556807",
            "telephone_number": "517-540-6780",
            "fax_number": "517-540-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 TOWN COMMONS DR",
            "address_2": "SUITE 104",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488556807",
            "telephone_number": "517-540-6780",
            "fax_number": "517-540-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZYZEWSKI",
        "first_name": "NICK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-14",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.