Active NPI
William J Sopchak, DC
- Chiropractor
- Concord TWP, OH
National Provider Identifier
1851335541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1823
- Practice address
- 7555 Fredle Dr
Suite 230
Concord TWP, OH 44077-9416 - Phone
- (440) 352-0444
- Fax
- (440) 352-0456
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 1823 | OH | Primary |
Addresses
Primary practice location
7555 Fredle Dr
Suite 230
Concord TWP, OH 44077-9416
Mailing address
7555 Fredle Dr
Suite 230
Concord TWP, OH 44077-9416
Phone (440) 352-0444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1823 | Other | OH | LICENSE NUMBER |
| 341737573 | Other | OH | TAX ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National University of Arts and Sciences, Medical Department, 1991
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
7555 Fredle Dr
Suite 230
Concord TWP, OH 44077-9417
Phone (440) 352-0444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1823 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sopchak Chiropractic Center Inc | Chiropractor | Current | Accepting new patients |
| Sopchak Chiropractic Center, Inc | Chiropractor | Current | Accepting new patients |
Locations
7555 Fredle Dr
Ste 230
Concord Township, OH 44077
Phone (440) 352-0444
1859 N Ridge Rd
Painesville, OH 44077
Phone (440) 352-0444
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 and National Provider Directory roles.
-
- Chiropractor
- Concord TWP, OH
- NPI 1063767697
-
- Chiropractor
- Painesville, OH
- NPI 1033151634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347926400000",
"number": "1851335541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7555 FREDLE DR",
"address_2": "SUITE 230",
"city": "CONCORD TWP",
"state": "OH",
"postal_code": "440779416",
"telephone_number": "440-352-0444",
"fax_number": "440-352-0456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7555 FREDLE DR",
"address_2": "SUITE 230",
"city": "CONCORD TWP",
"state": "OH",
"postal_code": "440779416",
"telephone_number": "440-352-0444",
"fax_number": "440-352-0456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOPCHAK",
"first_name": "WILLIAM",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2012-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "1823",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "1823",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "341737573",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord TWP, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.