Active NPI
Michael Dworaczyk Ashby, DC
- Chiropractor
- Richardson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC4405
- 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, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC4405 | Other | TX | LICENSE NUMBER |
| 4104382 | Other | TX | AETNA |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC4405 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael D Ashby D.C., P.a. | Chiropractor | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.