Individual provider Active NPI

Krista A Bassett, D.C.

  • Chiropractor
  • Shelby Township, MI
National Provider Identifier
1124127816
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
KB008256 Issued in MI
Practice address
53316 Van Dyke Ave
Shelby Township, MI 48316-1821
Phone
(586) 781-6955
Fax
(586) 781-6945
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X KB008256 MI Primary

Addresses

Primary practice location

53316 Van Dyke Ave
Shelby Township, MI 48316-1821

Mailing address

53316 Van Dyke Ave
Shelby Township, MI 48316-1821
Phone (586) 781-6955

Other identifiers 1

IdentifierTypeStateIssuer
0E05371OtherMIBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070323000292 MI Practitioner - Chiropractic 1759485139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fiori PC Bassett Family Chiropractic PCGroup PAC ID 9133223514, 3 clinicians

Practice addresses (Care Compare)

51309 Mound Rd
Shelby Township, MI 48316-4344
Phone (586) 323-7901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KB008256MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fiori P.C. Bassett Family Chiropractic P.C. Chiropractor CurrentSince Jan 25, 2007 Accepting new patients
Star Chiropractic LLC Chiropractor Past Accepting new patients

Locations

51309 Mound Rd
Shelby Township, MI 48316
Phone (586) 323-7901

53316 Van Dyke Ave
Shelby Township, MI 48316
Phone (586) 781-6955

Interoperability endpoints

  • Direct secure messaging: krista@bfc0030.direct.chirotouch.md

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1124127816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53316 VAN DYKE AVE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483161821",
            "telephone_number": "586-781-6955",
            "fax_number": "586-781-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53316 VAN DYKE AVE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483161821",
            "telephone_number": "586-781-6955",
            "fax_number": "586-781-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSETT",
        "first_name": "KRISTA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "KB008256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0E05371",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.