Active NPI
Kody Semrow, D.C.
- Chiropractor
- Holland, MI
National Provider Identifier
1003215369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301010079
- Practice address
- 833 E 16TH St Ste 175
Holland, MI 49423-9257 - Phone
- (810) 434-3515
- NPI assigned
- Aug 22, 2014
- Sex
- Male
- 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 | 2301010079 | MI | Primary |
Addresses
Primary practice location
833 E 16TH St Ste 175
Holland, MI 49423-9257
Mailing address
833 E 16TH St Ste 175
Holland, MI 49423-9257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141009001572 | MI | Practitioner - Chiropractic | 0547480949 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301010079 | MI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408665600000",
"number": "1003215369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 E 16TH ST STE 175",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494239257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 E 16TH ST STE 175",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494239257",
"telephone_number": "810-434-3515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEMROW",
"first_name": "KODY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-22",
"last_updated": "2014-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301010079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; 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.