Individual provider Active NPI

Steven Peter Szatkowski, DC

  • Chiropractor
  • Fruitport, MI
National Provider Identifier
1922287325
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005356 Issued in MI
Practice address
3427 Farr Rd
Fruitport, MI 49415-8854
Phone
(231) 865-6545
Fax
(231) 865-6212
NPI assigned
Nov 1, 2007
Last updated
Nov 1, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301005356 MI Primary

Addresses

Primary practice location

3427 Farr Rd
Fruitport, MI 49415-8854

Mailing address

3427 Farr Rd
Fruitport, MI 49415-8854
Phone (231) 865-6545

Other identifiers 2

IdentifierTypeStateIssuer
4336311MedicaidMI
OF152770OtherBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071204000293 MI Practitioner - Chiropractic 9436248150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3427 Farr Rd
Fruitport, MI 49415-8854
Phone (231) 865-6545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Concepts Inc. Chiropractor CurrentSince Dec 4, 2007 Accepting new patients
X-Cell Integrative Health PC CurrentSince Nov 21, 2018 Accepting new patients

Locations

3427 Farr Rd
Fruitport, MI 49415
Phone (231) 865-6545

3427 Farr Rd
Ste A
Fruitport, MI 49415

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, 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": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1922287325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3427 FARR RD",
            "city": "FRUITPORT",
            "state": "MI",
            "postal_code": "494158854",
            "telephone_number": "231-865-6545",
            "fax_number": "231-865-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3427 FARR RD",
            "city": "FRUITPORT",
            "state": "MI",
            "postal_code": "494158854",
            "telephone_number": "231-865-6545",
            "fax_number": "231-865-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZATKOWSKI",
        "first_name": "STEVEN",
        "middle_name": "PETER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4336311",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "OF152770",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fruitport, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.