NPIMap

Organization Active NPI

Crossroad Chiropractic

  • Chiropractor
  • Rochester, MI
National Provider Identifier
1275799884
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
TW009294 Issued in MI
Legal business name
CROSSROAD CHIROPRACTIC
Practice address
314 S Main St
Rochester, MI 48307-2030
Phone
(248) 650-5100
Fax
(248) 726-1283
NPI assigned
Aug 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Authorized official

Name
Dr. Timothy Michael Wasmund, D.C.
Title
President
Phone
(586) 292-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X TW009294 MI Primary

Addresses

Primary practice location

314 S Main St
Rochester, MI 48307-2030

Mailing address

314 S Main St
Rochester, MI 48307-2030
Phone (248) 650-5100

National Provider Directory

National Provider Directory

Locations

314 S Main St
Rochester, MI 48307
Phone (248) 650-5100

NPI Registry JSON

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

{
    "created_epoch": "1217721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1275799884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 S MAIN ST",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483072030",
            "telephone_number": "248-650-5100",
            "fax_number": "248-726-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S MAIN ST",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483072030",
            "telephone_number": "248-650-5100",
            "fax_number": "248-726-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROAD CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-03",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "WASMUND",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-292-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "TW009294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.