Individual provider Active NPI

Val Dennis Syring, D.O.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Grand Rapids, MI
National Provider Identifier
1023019890
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
VS006819 Issued in MI
Practice address
1945 Boston St SE
G1
Grand Rapids, MI 49506-4100
Phone
(616) 243-9898
Fax
(616) 243-4296
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X VS006819 MI Primary

Addresses

Primary practice location

1945 Boston St SE
G1
Grand Rapids, MI 49506-4100

Mailing address

7443 Kenrob Dr SE
Grand Rapids, MI 49546-9121
Phone (616) 957-0456

Other identifiers 1

IdentifierTypeStateIssuer
2113916MedicaidMI

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
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
VS006819MIMDSports Medicine (Neuromusculoskeletal Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023019890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7443 KENROB DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495469121",
            "telephone_number": "616-957-0456",
            "fax_number": "616-243-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 BOSTON ST SE",
            "address_2": "G1",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064100",
            "telephone_number": "616-243-9898",
            "fax_number": "616-243-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYRING",
        "first_name": "VAL",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "MI",
            "license": "VS006819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2113916",
            "state": "MI"
        }
    ],
    "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 Jul 8, 2007; 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.