Individual provider Active NPI

Cynthia J Garrone, D.C.

  • Chiropractor
  • Watervliet, MI
National Provider Identifier
1831240365
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004778 Issued in MI
Practice address
310 Lewis St
Watervliet, MI 49098-9346
Phone
(269) 463-3436
Fax
(269) 463-6004
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301004778 MI Primary

Addresses

Primary practice location

310 Lewis St
Watervliet, MI 49098-9346

Mailing address

310 Lewis St
Watervliet, MI 49098-9346
Phone (269) 463-3436

Other identifiers 1

IdentifierTypeStateIssuer
11276722OtherMICAQH PROVIDER ID

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831240365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 LEWIS ST",
            "city": "WATERVLIET",
            "state": "MI",
            "postal_code": "490989346",
            "telephone_number": "269-463-3436",
            "fax_number": "269-463-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 LEWIS ST",
            "city": "WATERVLIET",
            "state": "MI",
            "postal_code": "490989346",
            "telephone_number": "269-463-3436",
            "fax_number": "269-463-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRONE",
        "first_name": "CYNTHIA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "11276722",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watervliet, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.