Active NPI
Christopher Carl Netley, DC
- Chiropractor
- Grand Rapids, MI
National Provider Identifier
1043833213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 230101954
- Practice address
- 2020 Raybrook St SE Ste 204-D
Grand Rapids, MI 49546-7717 - Phone
- (760) 902-0542
- NPI assigned
- May 22, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 230101954 | MI | Primary |
Addresses
Primary practice location
2020 Raybrook St SE Ste 204-D
Grand Rapids, MI 49546-7717
Mailing address
2960 Johnston LN
Osseo, MI 49266-9628
Phone (760) 902-0542
Other practice location 1
401 W Carleton Rd
Hillsdale, MI 49242-1354
Phone (760) 902-0542
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230101954 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Build Beyond Health | Chiropractor | Current | Accepting new patients |
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.
-
- Chiropractor
- Hillsdale, MI
- NPI 1891583837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596240000000",
"number": "1043833213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2960 JOHNSTON LN",
"city": "OSSEO",
"state": "MI",
"postal_code": "492669628",
"telephone_number": "760-902-0542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 RAYBROOK ST SE STE 204-D",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495467717",
"telephone_number": "760-902-0542"
}
],
"practiceLocations": [
{
"address_1": "401 W Carleton Rd",
"address_purpose": "LOCATION",
"city": "Hillsdale",
"state": "MI",
"postal_code": "492421354",
"country_code": "US",
"telephone_number": "760-902-0542",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NETLEY",
"first_name": "CHRISTOPHER",
"middle_name": "CARL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-22",
"last_updated": "2020-08-01",
"certification_date": "2020-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "230101954",
"primary": true
}
],
"identifiers": [],
"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 Aug 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.