Individual provider Active NPI

Gigi Badila Cristache, DAOM, R.AC.

  • Acupuncturist
  • Farmington Hills, MI
National Provider Identifier
1811400575
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
5401000064 Issued in MI
Practice address
32905 W 12 Mile Rd Ste 404
Farmington Hills, MI 48334-3346
Phone
(248) 790-4061
NPI assigned
Nov 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 5401000064 MI Primary

Addresses

Primary practice location

32905 W 12 Mile Rd Ste 404
Farmington Hills, MI 48334-3346

Mailing address

30426 Knighton Dr
Farmington Hills, MI 48331-1657
Phone (248) 790-4061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5401000064MIMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Executive Edge International, Inc. Acupuncturist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1811400575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30426 KNIGHTON DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311657",
            "telephone_number": "248-790-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32905 W 12 MILE RD STE 404",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343346",
            "telephone_number": "248-790-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISTACHE",
        "first_name": "GIGI",
        "middle_name": "BADILA",
        "credential": "DAOM, R.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MI",
            "license": "5401000064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.