NPIMap

Organization Active NPI

Bouchard Chiropractic PLLC

  • Chiropractor
  • Chesterfield, MI
National Provider Identifier
1134542517
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2324558 Issued in MI
Legal business name
BOUCHARD CHIROPRACTIC PLLC
Practice address
27322 23 Mile Rd
Suite 3
Chesterfield, MI 48051-2032
Phone
(586) 231-2225
NPI assigned
Jan 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Authorized official

Name
Dr. Kristy Sue Bouchard, D.C.
Title
Owner/Manager
Phone
(248) 767-2183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2324558 MI Primary

Addresses

Primary practice location

27322 23 Mile Rd
Suite 3
Chesterfield, MI 48051-2032

Mailing address

12839 Chippewa Dr
Warren, MI 48088-1816
Phone (248) 767-2183

National Provider Directory

National Provider Directory

Locations

27322 23 Mile Rd
Ste 3
Chesterfield, MI 48051
Phone (586) 231-2225

NPI Registry JSON

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1134542517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12839 CHIPPEWA DR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480881816",
            "telephone_number": "248-767-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27322 23 MILE RD",
            "address_2": "SUITE 3",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480512032",
            "telephone_number": "586-231-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUCHARD CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "BOUCHARD",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "248-767-2183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2324558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.