Individual provider Active NPI

Mark Szostczuk, D.C.

  • Rehabilitation Chiropractor
  • Asheville, NC
National Provider Identifier
1871665513
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
2957 Issued in NC
Practice address
1550 Hendersonville Rd
Suite 104
Asheville, NC 28803-3187
Phone
(828) 274-1122
Fax
(828) 274-3366
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 2957 NC Primary

Addresses

Primary practice location

1550 Hendersonville Rd
Suite 104
Asheville, NC 28803-3187

Mailing address

1378 Hendersonville Rd
Suite C
Asheville, NC 28803-1957
Phone (828) 274-1122

Other identifiers 2

IdentifierTypeStateIssuer
085E0OtherNCNCBCBS
89085E0MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050909000341 NC Practitioner - Chiropractic 1052343381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

900 Henderson Rd
Suite 101B
Asheville, NC 28803-1763
Phone (828) 242-6391

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2957NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Chiropractic, Inc. Rehabilitation CurrentSince Jan 1, 2002 Accepting new patients

Locations

1378 Hendersonville Rd
Ste C
Asheville, NC 28803
Phone (828) 274-1122

1550 Hendersonville Rd
Ste 104
Asheville, NC 28803
Phone (828) 274-1122

1978 Hendersonville Rd
Ste 50
Asheville, NC 28803
Phone (828) 651-8774

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1871665513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1378 HENDERSONVILLE RD",
            "address_2": "SUITE C",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288031957",
            "telephone_number": "828-274-1122",
            "fax_number": "828-274-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 HENDERSONVILLE RD",
            "address_2": "SUITE 104",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288033187",
            "telephone_number": "828-274-1122",
            "fax_number": "828-274-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZOSTCZUK",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NC",
            "license": "2957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBCBS",
            "identifier": "085E0",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085E0",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.