Active NPI
Krystal Czegus, D.C.
- Chiropractor
- Grand Rapids, MI
National Provider Identifier
1508150236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301009827
- Practice address
- 1500 E Beltline Ave SE
Suite 145
Grand Rapids, MI 49506-4361 - Phone
- (586) 255-2772
- NPI assigned
- May 28, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301009827 | MI | Primary |
Addresses
Primary practice location
1500 E Beltline Ave SE
Suite 145
Grand Rapids, MI 49506-4361
Mailing address
1500 E Beltline Ave SE
Suite 145
Grand Rapids, MI 49506-4361
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301009827 | MI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306540800000",
"number": "1508150236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 E BELTLINE AVE SE",
"address_2": "SUITE 145",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495064361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E BELTLINE AVE SE",
"address_2": "SUITE 145",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495064361",
"telephone_number": "586-255-2772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CZEGUS",
"first_name": "KRYSTAL",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-28",
"last_updated": "2011-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301009827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.