Organization Active NPI

Sterling Heights Chiropractic Clinic P C

  • Chiropractor
  • Sterling Heights, MI
National Provider Identifier
1760774830
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004615 Issued in IL
Legal business name
STERLING HEIGHTS CHIROPRACTIC CLINIC P C
Practice address
42700 Van Dyke Ave
Sterling Heights, MI 48314-3330
Phone
(586) 739-8383
NPI assigned
May 9, 2011
Last updated
May 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2011

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

Authorized official

Name
Chris Cracchiolo
Title
Insurance Clerk
Phone
(586) 739-8383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301004615 IL Primary

Addresses

Primary practice location

42700 Van Dyke Ave
Sterling Heights, MI 48314-3330

Mailing address

42700 Van Dyke Ave
Sterling Heights, MI 48314-3330
Phone (586) 739-8383

National Provider Directory

National Provider Directory

Locations

42700 Van Dyke Ave
Sterling Hts, MI 48314
Phone (586) 264-9470

NPI Registry JSON

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304899200000",
    "number": "1760774830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42700 VAN DYKE AVE",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483143330",
            "telephone_number": "586-739-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42700 VAN DYKE AVE",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483143330",
            "telephone_number": "586-739-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING HEIGHTS CHIROPRACTIC CLINIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-09",
        "last_updated": "2011-05-09",
        "status": "A",
        "authorized_official_last_name": "CRACCHIOLO",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "INSURANCE CLERK",
        "authorized_official_telephone_number": "586-739-8383"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "2301004615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.