Christopher Mark Passalacqua, D.C., L.C.P., DPHCS

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301005374 Issued in MI

Practice address

5909 John R Rd
Troy, MI 48085-3867

Phone

(248) 879-5540

Fax

(248) 879-5502

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Discover Chiropractic Clinic,PLC

  • Chiropractor
  • Troy, MI
  • NPI 1851556799
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528089927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 INDIAN LAKE RD",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483716220",
            "telephone_number": "248-814-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 JOHN R RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853867",
            "telephone_number": "248-879-5540",
            "fax_number": "248-879-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSALACQUA",
        "first_name": "CHRISTOPHER",
        "middle_name": "MARK",
        "credential": "D.C., L.C.P., DPHCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUCROSSBLUESHIELD",
            "identifier": "OF35270",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Parr
• Michael F Parslow Jr., PA
• Cynthia J Parsons, MA, LLPC
• Part B LLC
• Pasadena Villa Michigan, LLC
• Eveline Passeno
• Passion Home Health Care Inc
• Passion Home Health Services Inc
• Jaldipkumar M Patankar
• Siranda Jo Patchel, M.A., CCC-SLP

• 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.