Brandon Dykstra Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BRANDON DYKSTRA CHIROPRACTIC LLC

Practice address

9479 Riley St Ste 245
Zeeland, MI 49464-8750

Phone

(616) 239-1105

NPI assigned

Oct 31, 2023

Last updated

Oct 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brandon Ross Dykstra, DCNPI 1922796747

Title

Chiropractor

Phone

(616) 239-1105

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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.

• Brandon Dykstra, DC

  • Chiropractor
  • Zeeland, MI
  • NPI 1922796747
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1043083256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9479 RILEY ST STE 245",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494648750",
            "telephone_number": "616-239-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9479 RILEY ST STE 245",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494648750",
            "telephone_number": "616-239-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON DYKSTRA CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "DYKSTRA",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "616-239-1105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole B Bowker, MS
• Laura Anne Bowling, OTR
• Bpi Pharmacy Inc (Buntes Pharmacy)
• Bpi Pharmacy Inc (Buntes Pharmacy)
• Matthew Brady, CRNA
• Tara Brannam
• Petra Braunius
• Katelyn Bredeweg, MSN RN AGCNS-BC ONC
• Deborah Brink, LMSW
• Angela Brown, LMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.

Verify at the official NPI Registry.