Discover Chiropractic Clinic,PLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301005374 Issued in MI

Legal business name

DISCOVER CHIROPRACTIC CLINIC,PLC

Practice address

5909 John R Rd
Troy, MI 48085-3867

Phone

(248) 879-5540

NPI assigned

Jul 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Mark Passalacqua, D.C., L.C.P.,DPHCANPI 1528089927

Title

Sole Proprietor,Owner

Phone

(248) 879-5540

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Mark Passalacqua, D.C., L.C.P., DPHCS

  • Chiropractor
  • Troy, MI
  • NPI 1528089927
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1851556799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 JOHN R RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853867",
            "telephone_number": "248-879-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 JOHN R RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853867",
            "telephone_number": "248-879-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVER CHIROPRACTIC CLINIC,PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "PASSALACQUA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "SOLE PROPRIETOR,OWNER",
        "authorized_official_telephone_number": "248-879-5540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., L.C.P.,DPHCA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "0F35270",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dina Baldwin Berdy LLC
• Vickie A Dingler, OTR
• Maty Diop
• Disability Made Easy LLC
• Disability Network Eastern Michigan
• Jordan Ditsch, MS, LMFT
• Diversified Care Solutions, LLC
• Diversified Hospice Care, Inc.
• Diversified Hospice Care, Inc.
• Diversified Pharmacy Inc

• Chiropractor in Troy, MI
• Providers in Troy, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.