Harry Buberniak Jr., DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

HB300267 Issued in MI

Practice address

6399 Sylvania Petersburg Rd
Ottawa Lake, MI 49267-9518

Phone

(734) 888-1181

Fax

(734) 888-1112

NPI assigned

Jul 19, 2005

Last updated

Jul 13, 2026By 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790784916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6399 SYLVANIA PETERSBURG RD",
            "city": "OTTAWA LAKE",
            "state": "MI",
            "postal_code": "492679518",
            "telephone_number": "734-888-1181",
            "fax_number": "734-888-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6399 SYLVANIA PETERSBURG RD",
            "city": "OTTAWA LAKE",
            "state": "MI",
            "postal_code": "492679518",
            "telephone_number": "734-888-1181",
            "fax_number": "734-888-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUBERNIAK",
        "first_name": "HARRY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "HB300267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3166870",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Ottawa Lake, MI
• Providers in Ottawa Lake, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.