Executive Edge International, Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

EXECUTIVE EDGE INTERNATIONAL, INC.

Practice address

32905 W 12 Mile Rd
Farmington Hills, MI 48334-3342

Phone

(248) 790-4061

NPI assigned

Aug 31, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Gigi Badila Cristache, DAOM, RAC., MAC.NPI 1811400575

Title

President

Phone

(248) 790-4061

Specialties & licenses 1

Addresses

Other names 1

• Five Element Acupuncture of Michigan Other name

Locations

Practitioners 1

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

• Gigi Badila Cristache, DAOM, R.AC.

  • Acupuncturist
  • Farmington Hills, MI
  • NPI 1811400575
  NPD (past) Authorized official

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1174041909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30426 KNIGHTON DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311657",
            "telephone_number": "248-790-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32905 W 12 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343342",
            "telephone_number": "248-790-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE EDGE INTERNATIONAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "CRISTACHE",
        "authorized_official_first_name": "GIGI",
        "authorized_official_middle_name": "BADILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-790-4061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DAOM, RAC., MAC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Five Element Acupuncture of Michigan",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Five Element Acupuncture of Michigan",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Acupuncturist in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Acupuncturist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.