950 Cross, LLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

38MC00635900 Issued in NJ

Legal business name

950 CROSS, LLC

Doing business as

C. M. Chiropractic

Practice address

1 Britton Place
Suite 10
Voorhees, NJ 08043-2514

Phone

(856) 772-6300

Fax

(856) 772-4931

NPI assigned

Jun 21, 2006

Last updated

Mar 31, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael W Birdsall, D.C.NPI 1770595506

Title

President

Phone

(856) 772-6300

Specialties & licenses 1

Addresses

Other names 1

• C. M. Chiropractic Doing business as

Locations

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.

• Michael William Birdsall, D.C.

  • Sports Physician Chiropractor
  • Voorhees, NJ
  • NPI 1770595506
  Authorized official Same address or phone

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1376589259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRITTON PLACE",
            "address_2": "SUITE 10",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432514",
            "telephone_number": "856-772-6300",
            "fax_number": "856-772-4931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRITTON PLACE",
            "address_2": "SUITE 10",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432514",
            "telephone_number": "856-772-6300",
            "fax_number": "856-772-4931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "950 CROSS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "BIRDSALL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-772-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00635900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C. M. Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sports Physician Chiropractor in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Sports Physician Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.