Active NPI
Clear Connections Chiropractic PLLC
- Chiropractor
- Grand Rapids, MI
National Provider Identifier
1750676409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301009827
- Legal business name
- CLEAR CONNECTIONS CHIROPRACTIC PLLC
- Practice address
- 1500 E Beltline Ave SE
Suite 145
Grand Rapids, MI 49506-4361 - Phone
- (616) 608-3606
- Fax
- (616) 551-3233
- NPI assigned
- Jun 10, 2011
- 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
- Krystal Czegus, D.C.
- Title
- Owner/Chiropractor
- Phone
- (586) 255-2772
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
Phone (616) 608-3606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110818000145 | MI | Part B Supplier - Clinic/Group Practice | 1153590617 |
Receives reassigned benefits from 1 practitioner Practice locations: Grand Rapids, MI |
National Provider Directory
National Provider DirectoryLocations
1500 E Beltline Ave SE
Ste 145
Grand Rapids, MI 49506
Phone (616) 608-3606
2000 32nd St SE
Grand Rapids, MI 49508
Phone (616) 245-1600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Grand Rapids, MI
- NPI 1053605782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1311897600000",
"number": "1750676409",
"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",
"telephone_number": "616-608-3606",
"fax_number": "616-551-3233"
},
{
"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": "616-608-3606",
"fax_number": "616-551-3233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEAR CONNECTIONS CHIROPRACTIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-10",
"last_updated": "2011-07-29",
"status": "A",
"authorized_official_last_name": "CZEGUS",
"authorized_official_first_name": "KRYSTAL",
"authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
"authorized_official_telephone_number": "586-255-2772",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY 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 Jul 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.