Organization Active NPI

Lakepointe Family Chiropractic P.C.

  • Chiropractor
  • Northville, MI
National Provider Identifier
1629308978
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
TM008126 Issued in MI
Legal business name
LAKEPOINTE FAMILY CHIROPRACTIC P.C.
Practice address
42000 6 Mile Rd
Ste 230
Northville, MI 48168-4336
Phone
(248) 924-2547
Fax
(248) 924-2513
NPI assigned
Jan 9, 2010
Last updated
Feb 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Authorized official

Name
Dr. Tina Sy Maruszewski, D.C.
Title
Chiropractor
Phone
(248) 924-2547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X TM008126 MI Primary

Addresses

Primary practice location

42000 6 Mile Rd
Ste 230
Northville, MI 48168-4336

Mailing address

42000 6 Mile Rd
Ste 230
Northville, MI 48168-4336
Phone (248) 924-2547

Other identifiers 3

IdentifierTypeStateIssuer
950H210500OtherMIBCBSM PROVIDER ID NUMBER
0H25864OtherMIBC GRP
0N75020OtherMIMEDICARE PROVIDER ID NUMBER

National Provider Directory

National Provider Directory

Locations

42000 6 Mile Rd
Ste 230
Northville, MI 48168
Phone (248) 924-2413

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1262995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1629308978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42000 6 MILE RD",
            "address_2": "STE 230",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481684336",
            "telephone_number": "248-924-2547",
            "fax_number": "248-924-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42000 6 MILE RD",
            "address_2": "STE 230",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481684336",
            "telephone_number": "248-924-2547",
            "fax_number": "248-924-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEPOINTE FAMILY CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-09",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "MARUSZEWSKI",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "SY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "248-924-2547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "TM008126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PROVIDER ID NUMBER",
            "identifier": "950H210500",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC GRP",
            "identifier": "0H25864",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER ID NUMBER",
            "identifier": "0N75020",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.