Active NPI
Lakepointe Family Chiropractic P.C.
- Chiropractor
- Northville, MI
National Provider Identifier
1629308978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- TM008126
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950H210500 | Other | MI | BCBSM PROVIDER ID NUMBER |
| 0H25864 | Other | MI | BC GRP |
| 0N75020 | Other | MI | MEDICARE PROVIDER ID NUMBER |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Northville, MI
- NPI 1558479766
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.