Clear Connections Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009827 Issued in MI

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

Last updated

Jul 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Krystal Czegus, D.C.NPI 1508150236

Title

Owner/Chiropractor

Phone

(586) 255-2772

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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.

• Sean Anson Medlin, D.C.

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1053605782
  Medicare reassignment NPD
• Krystal Czegus, D.C.

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1508150236
  Authorized official Same address or phone

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": []
}

• Lindsay Alexis Clay, RBT ASSISTANT
• Rickey Corneluis Clayborn
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• Devetta Clayton
• Clear Sky Eyecare
• Clear Sky Holdings, LLC
• Clearer View Counseling LLC
• Clearwater Counseling & Wellness LLC
• Cassie Jo Cleary, LMSW

• Chiropractor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Chiropractor in Michigan

• 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.

Verify at the official NPI Registry.