Organization Active NPI

Innate Health

  • Thermography Chiropractor
  • Grand Rapids, MI
National Provider Identifier
1003259813
Registry record updated Aug 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thermography ChiropractorTaxonomy code 111NT0100X
License
2301010075 Issued in MI
Legal business name
INNATE HEALTH
Practice address
6735 Cascade Rd SE
Suite 200
Grand Rapids, MI 49546-6887
Phone
(616) 295-5699
NPI assigned
Apr 10, 2013
Last updated
Aug 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2013

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

Authorized official

Name
Dr. Justin Keffer, DCNPI 1992048060
Title
President/Chiropractor
Phone
(616) 295-5699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thermography ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NT0100X 2301010075 MI Primary

Addresses

Primary practice location

6735 Cascade Rd SE
Suite 200
Grand Rapids, MI 49546-6887

Mailing address

45 Benjamin Ave NE
Grand Rapids, MI 49503-3775

National Provider Directory

National Provider Directory

Locations

15 Ionia Ave SW
Ste 460
Grand Rapids, MI 49503
Phone (616) 295-5699

6735 Cascade Rd SE
Ste 200
Grand Rapids, MI 49546
Phone (616) 295-5699

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375574400000",
    "number": "1003259813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 BENJAMIN AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6735 CASCADE RD SE",
            "address_2": "SUITE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466887",
            "telephone_number": "616-295-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNATE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-08-04",
        "status": "A",
        "authorized_official_last_name": "KEFFER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "616-295-5699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NT0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Thermography",
            "state": "MI",
            "license": "2301010075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2013; 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.