Kristy S Bouchard DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007569 Issued in MI

Legal business name

KRISTY S BOUCHARD DC PC

Practice address

308 Town Center Dr
Troy, MI 48084-1742

Phone

(248) 906-2225

NPI assigned

Jul 8, 2016

Organization subpart

No

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

Authorized official

Name

Kristy Sue Bouchard, DC

Title

Owner/President

Phone

(248) 906-2225

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564704000000",
    "number": "1386096816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4511",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480994511",
            "telephone_number": "248-906-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 TOWN CENTER DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480841742",
            "telephone_number": "248-906-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTY S BOUCHARD DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-08",
        "last_updated": "2019-08-02",
        "status": "A",
        "authorized_official_last_name": "BOUCHARD",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "248-906-2225",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Troy, MI
• Providers in Troy, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.