NPIMap

Organization Active NPI

Abc Back & Neck Care

  • Chiropractor
  • Fenton, MI
National Provider Identifier
1992840136
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007718 Issued in MI
Legal business name
ABC BACK & NECK CARE
Practice address
3283 W Silver Lake Rd
Fenton, MI 48430-1369
Phone
(810) 750-0222
Fax
(810) 750-6222
NPI assigned
Feb 21, 2007
Last updated
Nov 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Timothy J Suszko, DC
Title
President
Phone
(810) 750-0222

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2301007718 MI Primary
Nutrition ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN1001X
Radiology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0200X 2301007718 MI

Addresses

Primary practice location

3283 W Silver Lake Rd
Fenton, MI 48430-1369

Mailing address

3283 W Silver Lake Rd
Fenton, MI 48430-1369
Phone (810) 750-0222

National Provider Directory

National Provider Directory

Locations

3283 W Silver Lake Rd
Fenton, MI 48430
Phone (810) 750-0222

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1992840136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3283 W SILVER LAKE RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301369",
            "telephone_number": "810-750-0222",
            "fax_number": "810-750-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3283 W SILVER LAKE RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301369",
            "telephone_number": "810-750-0222",
            "fax_number": "810-750-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC BACK & NECK CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "SUSZKO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-750-0222",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007718",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Radiology",
            "state": "MI",
            "license": "2301007718",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.