Organization Active NPI

Accel Health PLC

Doing business as Accel Chiropractic

  • Chiropractor
  • Grandville, MI
National Provider Identifier
1043853682
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ACCEL HEALTH PLC
Doing business as
Accel Chiropractic
Practice address
4555 Wilson Ave SW Ste 2a
Grandville, MI 49418-2370
Phone
(989) 430-0522
NPI assigned
Oct 28, 2019
Last updated
Oct 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Authorized official

Name
Dr. Steven Goeddeke, DCNPI 1861746786
Title
Owner
Phone
(989) 430-0522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4555 Wilson Ave SW Ste 2a
Grandville, MI 49418-2370

Mailing address

4555 Wilson Ave SW Ste 2a
Grandville, MI 49418-2370
Phone (989) 430-0522

Other names 1

  • Accel Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191022002760 MI Part B Supplier - Clinic/Group Practice 3072845171 Receives reassigned benefits from 1 practitioner
Practice locations: Grandville, MI

National Provider Directory

National Provider Directory

Locations

4555 Wilson Ave SW
Ste 2A
Grandville, MI 49418
Phone (616) 888-3280

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1043853682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 WILSON AVE SW STE 2A",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182370",
            "telephone_number": "989-430-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 WILSON AVE SW STE 2A",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182370",
            "telephone_number": "989-430-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCEL HEALTH PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "GOEDDEKE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-430-0522",
        "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": [
        {
            "organization_name": "Accel Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grandville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.