Active NPI
Heather Ann Van Skyhock, D.C.
- Chiropractor
- Traverse City, MI
National Provider Identifier
1962537365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301008627
- Practice address
- 415 S Elmwood Ave
Suite B
Traverse City, MI 49684-3180 - Phone
- (231) 922-0219
- Fax
- (231) 922-0224
- NPI assigned
- Feb 23, 2007
- Last updated
- Mar 1, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301008627 | MI | Primary |
Addresses
Primary practice location
415 S Elmwood Ave
Suite B
Traverse City, MI 49684-3180
Mailing address
415 S Elmwood Ave
Suite B
Traverse City, MI 49684-3180
Phone (231) 922-0219
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0B81174 | Other | MI | BLUE CROSS BLUE SHIELD |
| 4696755 | Medicaid | MI |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Van Skyhock Chiropractic Center | Past | Accepting new patients | |
| Van Skyhock Chiropractic Center, PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Van Skyhock Family Chiropractic
- Chiropractor
- Traverse City, MI
- NPI 1871637025
-
- Primary Care Clinic/Center
- Traverse City, MI
- NPI 1518367754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204329600000",
"number": "1962537365",
"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": {
"last_name": "VAN SKYHOCK",
"first_name": "HEATHER",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2008-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301008627",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0B81174",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4696755",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Traverse City, MI
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.