Organization Active NPI

Brian R Sebesky D.C., P.C.

  • Chiropractor
  • Jackson, MI
National Provider Identifier
1881927671
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
BS007519 Issued in MI
Legal business name
BRIAN R SEBESKY D.C., P.C.
Practice address
2301 Wildwood Ave
Jackson, MI 49202-3947
Phone
(517) 783-4545
Fax
(517) 783-4544
NPI assigned
Sep 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Mrs. Kristen Marie Sebesky
Title
Office Manager
Phone
(517) 783-4545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X BS007519 MI Primary

Addresses

Primary practice location

2301 Wildwood Ave
Jackson, MI 49202-3947

Mailing address

2301 Wildwood Ave
Jackson, MI 49202-3947
Phone (517) 783-4545

Other names 1

  • Absolute Health Chiropractor Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091012000288 MI Part B Supplier - Clinic/Group Practice 9133265754 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson, MI

National Provider Directory

National Provider Directory

Locations

609 N Wisner St
Jackson, MI 49202
Phone (517) 787-6660

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1881927671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 WILDWOOD AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023947",
            "telephone_number": "517-783-4545",
            "fax_number": "517-783-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 WILDWOOD AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023947",
            "telephone_number": "517-783-4545",
            "fax_number": "517-783-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN R SEBESKY D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "SEBESKY",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "517-783-4545",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "BS007519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Absolute Health Chiropractor",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.