Full Potential Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007970 Issued in MI

Legal business name

FULL POTENTIAL CHIROPRACTIC, PC

Practice address

135 E Superior St
Wayland, MI 49348-1137

Phone

(269) 792-9952

Fax

(269) 792-6459

NPI assigned

Oct 15, 2007

Last updated

Nov 19, 2018By 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. Ronald Angelo House II, D.C.NPI 1447223995

Title

President

Phone

(269) 792-9952

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• House Family Chiropractic, PC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 6

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.

• Ronald Angelo House II, DC

  • Chiropractor
  • Wayland, MI
  • NPI 1447223995
  Medicare reassignment Care Compare group NPD Authorized official
• Matthew Vanover, DC

  • Chiropractor
  • Wayland, MI
  • NPI 1184162042
  Medicare reassignment Care Compare group NPD
• Hope Christine Brinks, DC

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1366286528
  NPD
• Brittany Marie Gregory, D.C.

  • Chiropractor
  • Wayland, MI
  • NPI 1750657086
  NPD (past)
• Daniel Willaim Hungerford, D.C.

  • Chiropractor
  • Wayland, MI
  • NPI 1598067589
  NPD (past)
• Kaitlyn Sorenson, DC

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1275235228
  NPD (past)

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1043408149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E SUPERIOR ST",
            "city": "WAYLAND",
            "state": "MI",
            "postal_code": "493481137",
            "telephone_number": "269-792-9952",
            "fax_number": "269-792-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E SUPERIOR ST",
            "city": "WAYLAND",
            "state": "MI",
            "postal_code": "493481137",
            "telephone_number": "269-792-9952",
            "fax_number": "269-792-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL POTENTIAL CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "HOUSE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "ANGELO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-792-9952",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "007970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14-4473043",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "House Family Chiropractic, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Steven J Feddick, D.D.S.
• Charles R Fenton, D.O.
• Lindsey Anne Fisk
• Vanessa Rae Fitzpatrick, LMT
• Korin Fletemier, DDS
• Samantha Marie Gann, BSN, RN
• Reagan Frances Gielincki, MS, OTR, IBCLC
• Tina Marie Gillman
• Christine Ann-Root Gomez, PTA
• Paige Goodman

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.