Crossroads Family Chiropractic Center, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007477 Issued in MI

Legal business name

CROSSROADS FAMILY CHIROPRACTIC CENTER, PC

Practice address

9996 E US Highway 223
Blissfield, MI 49228-9688

Phone

(517) 486-4931

Fax

(517) 486-3026

NPI assigned

Dec 28, 2009

Organization subpart

No

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

Authorized official

Name

Karyn Kay Yape, D.C.

Title

President

Phone

(517) 486-4931

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Crossroads Chiropractic Center Doing business as

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1497085344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "city": "BLISSFIELD",
            "state": "MI",
            "postal_code": "492280067",
            "telephone_number": "517-486-4931",
            "fax_number": "517-486-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9996 E US HIGHWAY 223",
            "city": "BLISSFIELD",
            "state": "MI",
            "postal_code": "492289688",
            "telephone_number": "517-486-4931",
            "fax_number": "517-486-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS FAMILY CHIROPRACTIC CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-28",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "YAPE",
        "authorized_official_first_name": "KARYN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-486-4931",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FORMER NPI",
            "identifier": "1306842512",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020554885",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacob Earl Clark, MS, AT, NR-EMT
• Elisa Coccimiglio, MD
• Convenient Lab Services LLC
• James R Creps, PT, DSCPT, OCS, CMPT
• Maura Ann Crescenzo, NP
• Amy Descombes
• Robert Franklin, PCC-S
• Stephen M Fulton, PT
• Great Lakes Family Dental Group Blissfield PC
• Sheila Madonna Hunter, LPN

• All providers in Blissfield, MI
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.