Individual provider Active NPI

William J Sopchak, DC

  • Chiropractor
  • Concord TWP, OH
National Provider Identifier
1851335541
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1823 Issued in OH
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

Updated by the provider on Sep 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 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

IdentifierTypeStateIssuer
1823OtherOHLICENSE NUMBER
341737573OtherOHTAX ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120730000437 OH Practitioner - Chiropractic 8921264375 Reassigns benefits to 1 organization

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
Sopchak Chiropractic Center IncGroup PAC ID 6204092646, 2 clinicians

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

LicenseStateTypeSpecialty
1823OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sopchak Chiropractic Center Inc Chiropractor CurrentSince Dec 30, 2011 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.

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.

Verify at the official NPI Registry.