John Dushaw, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010631 Issued in MI

Practice address

5164 Lake Michigan Dr Ste D
Allendale, MI 49401-8506

Phone

(616) 777-0309

NPI assigned

Jul 6, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

KB Chiropractic PLLCGroup PAC ID 3779760657, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• KB Chiropractic PLLC

  • Chiropractor
  • Allendale, MI
  • NPI 1033423926
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1023504602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5164 LAKE MICHIGAN DR STE D",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494018506",
            "telephone_number": "616-777-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5164 LAKE MICHIGAN DR STE D",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494018506",
            "telephone_number": "616-777-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSHAW",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-06",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN",
            "identifier": "1689913618",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN",
            "identifier": "1275788374",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Michelle Dennis, PA-C
• Robin Mae Dertien, PT
• Susan Marie Dilsworth, PHD
• Lawrence Paul Doran, DC
• Kody Michael Drewer
• Calli Dykhouse
• Kailyn Ebeling
• Adriane Lynn Ebels, RPH
• Mackenzie Eckelbecker
• Aubrey Faber

• Chiropractor in Allendale, MI
• Providers in Allendale, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; 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.