Individual provider Active NPI

Michael Dworaczyk Ashby, DC

  • Chiropractor
  • Richardson, TX
National Provider Identifier
1841282530
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC4405 Issued in TX
Practice address
2011 N Collins Blvd
Ste 707
Richardson, TX 75080-2645
Phone
(972) 414-8181
Fax
(469) 248-3414
NPI assigned
Aug 18, 2005
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC4405 TX Primary

Addresses

Primary practice location

2011 N Collins Blvd
Ste 707
Richardson, TX 75080-2645

Mailing address

1475 Richardson Dr Ste 204
Richardson, TX 75080-4605
Phone (469) 248-3378

Other identifiers 2

IdentifierTypeStateIssuer
DC4405OtherTXLICENSE NUMBER
4104382OtherTXAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100916000794 TX Practitioner - ChiropracticPractitioner - Other (Physician) 0547385312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1475 Richardson Dr
Suite 204
Richardson, TX 75080-4605
Phone (469) 248-3378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC4405TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Michael D Ashby D.C., P.a. Chiropractor CurrentSince Apr 1, 2012 Accepting new patients

Locations

7602 N Jupiter Rd
Ste 107
Garland, TX 75044
Phone (972) 414-8181

1475 Richardson Dr
Ste 204
Richardson, TX 75080
Phone (469) 248-3378

2011 N Collins Blvd
Ste 707
Richardson, TX 75080
Phone (972) 414-8181

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1841282530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 RICHARDSON DR STE 204",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804605",
            "telephone_number": "469-248-3378",
            "fax_number": "469-248-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 N COLLINS BLVD",
            "address_2": "STE 707",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802645",
            "telephone_number": "972-414-8181",
            "fax_number": "469-248-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHBY",
        "first_name": "MICHAEL",
        "middle_name": "DWORACZYK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "DC4405",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4104382",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.