Organization Active NPI

McCrum Family Chiropractic, PLLC

  • Chiropractor
  • Traverse City, MI
National Provider Identifier
1407154792
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009684 Issued in MI
Legal business name
MCCRUM FAMILY CHIROPRACTIC, PLLC
Practice address
1832 Oak Hollow Dr
Suite B
Traverse City, MI 49686-5902
Phone
(231) 995-0990
Fax
(231) 995-0991
NPI assigned
Mar 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Authorized official

Name
Dr. Christa Cheri McCrum, D.C.NPI 1023337508
Title
Owner
Phone
(231) 995-0990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301009684 MI Primary

Addresses

Primary practice location

1832 Oak Hollow Dr
Suite B
Traverse City, MI 49686-5902

Mailing address

1832 Oak Hollow Dr
Suite B
Traverse City, MI 49686-5902
Phone (231) 995-0990

National Provider Directory

National Provider Directory

Locations

1832 Oak Hollow Dr
Ste B
Traverse City, MI 49686
Phone (231) 995-0990

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1407154792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 OAK HOLLOW DR",
            "address_2": "SUITE B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496865902",
            "telephone_number": "231-995-0990",
            "fax_number": "231-995-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 OAK HOLLOW DR",
            "address_2": "SUITE B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496865902",
            "telephone_number": "231-995-0990",
            "fax_number": "231-995-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCRUM FAMILY CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "MCCRUM",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_middle_name": "CHERI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-995-0990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.