NPIMap

Organization Active NPI

Van Skyhock Chiropractic Center

  • Primary Care Clinic/Center
  • Traverse City, MI
National Provider Identifier
1518367754
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
2301009140 Issued in MI
Legal business name
VAN SKYHOCK CHIROPRACTIC CENTER
Practice address
3860 N Long Lake Rd
Suite 3
Traverse City, MI 49684-7204
Phone
(231) 922-0219
Fax
(231) 922-0224
NPI assigned
Aug 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Authorized official

Name
Dr. Justin Van Skyhock, D.C.NPI 1881720977
Title
Owner
Phone
(231) 922-0219

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
Primary Care Clinic/Center 261QP2300X 2301009140 MI Primary

Addresses

Primary practice location

3860 N Long Lake Rd
Suite 3
Traverse City, MI 49684-7204

Mailing address

3860 N Long Lake Rd
Suite 3
Traverse City, MI 49684-7204
Phone (231) 922-0219

Other names 1

  • Van Skyhock Family Chiropractic Other name

National Provider Directory

National Provider Directory
Tax ID family
Van Skyhock Chiropractic Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1518367754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 N LONG LAKE RD",
            "address_2": "SUITE 3",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847204",
            "telephone_number": "231-922-0219",
            "fax_number": "231-922-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 N LONG LAKE RD",
            "address_2": "SUITE 3",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847204",
            "telephone_number": "231-922-0219",
            "fax_number": "231-922-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN SKYHOCK CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "VAN SKYHOCK",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-922-0219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "2301009140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Van Skyhock Family Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 25, 2014; 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.