Van Skyhock Chiropractic Center, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301008627 Issued in MI

Legal business name

VAN SKYHOCK CHIROPRACTIC CENTER, PC

Doing business as

Van Skyhock Family Chiropractic

Practice address

415 S Elmwood Ave
Suite B
Traverse City, MI 49684-3180

Phone

(231) 922-0219

Fax

(231) 922-0224

NPI assigned

Feb 19, 2007

Last updated

Mar 1, 2008By 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

Dr. Heather Ann Van Skyhock, D.C.NPI 1962537365

Title

President

Phone

(231) 922-0219

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Van Skyhock Family Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Tax ID family

Van Skyhock Chiropractic Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Van Skyhock Chiropractic Center

  • Primary Care Clinic/Center
  • Traverse City, MI
  • NPI 1518367754
  NPD tax ID

Locations

Practitioners 3

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.

• Justin Allan Vanskyhock, D.C.

  • Chiropractor
  • Traverse City, MI
  • NPI 1881720977
  Medicare reassignment
• Heather Ann Van Skyhock, D.C.

  • Chiropractor
  • Traverse City, MI
  • NPI 1962537365
  NPD (past) Authorized official
• Jenifer Hullman, D.C.

  • Chiropractor
  • Traverse City, MI
  • NPI 1558491076
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204329600000",
    "number": "1871637025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S ELMWOOD AVE",
            "address_2": "SUITE B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496843180",
            "telephone_number": "231-922-0219",
            "fax_number": "231-922-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S ELMWOOD AVE",
            "address_2": "SUITE B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496843180",
            "telephone_number": "231-922-0219",
            "fax_number": "231-922-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN SKYHOCK CHIROPRACTIC CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2008-03-01",
        "status": "A",
        "authorized_official_last_name": "VAN SKYHOCK",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-922-0219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4696755",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Van Skyhock Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla Van Acker, DPT
• Madison Van Hee
• David Anthony Van Horn
• Lauren E Van Hulle, M.A., LPC
• Van Skyhock Chiropractic Center
• Heather Ann Van Skyhock, D.C.
• Aimee Vanandel, LLP
• Nikolas Vance, DC
• Lauren Vander Hill
• Stephen P Vander Roest, M.D.

• Chiropractor in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.