Individual provider Active NPI

Danielle Sinclair, DC

  • Chiropractor
  • Wyoming, MI
National Provider Identifier
1013418524
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010476 Issued in MI
Practice address
4020 Del Mar Dr SW
Ste 100
Wyoming, MI 49418
Phone
(616) 214-3111
Fax
(616) 730-4052
NPI assigned
Feb 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010476 MI Primary

Addresses

Primary practice location

4020 Del Mar Dr SW
Ste 100
Wyoming, MI 49418

Mailing address

4020 Del Mar Dr SW
Ste 100
Wyoming, MI 49418
Phone (616) 214-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180416001411 MI Practitioner - Chiropractic 0244593739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Rivertown Family Chiropractic LLCGroup PAC ID 2163652652, 8 clinicians

Practice addresses (Care Compare)

4020 Del Mar Dr SW
Suite 100
Wyoming, MI 49418-8837
Phone (616) 214-3111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301010476MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rivertown Family Chiropractic LLC Chiropractor CurrentSince Mar 12, 2018 Accepting new patients

Locations

4693 Wilson Ave SW
Ste K
Grandville, MI 49418
Phone (616) 757-0932

4020 Del Mar Dr SW
Ste 100
Wyoming, MI 49418
Phone (616) 214-3111

Networks

  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
  • IL HMO C-SNP

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1013418524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 DEL MAR DR SW",
            "address_2": "STE 100",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "49418",
            "telephone_number": "616-214-3111",
            "fax_number": "616-730-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 DEL MAR DR SW",
            "address_2": "STE 100",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "49418",
            "telephone_number": "616-214-3111",
            "fax_number": "616-730-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINCLAIR",
        "first_name": "DANIELLE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-21",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.