Tilton Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301008127 Issued in MI

Legal business name

TILTON CHIROPRACTIC PC

Practice address

1593 Galbraith SE
Suite 205
Grand Rapids, MI 49546-7140

Phone

(616) 949-1888

Fax

(616) 949-9602

NPI assigned

Aug 10, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Trent M Tilton, DC

Title

Doctor of Chiropractic

Phone

(616) 949-1888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Nicole Tilton, DC

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1891249553
  Medicare reassignment NPD
• Jared Kenton Jackson, DC

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1184447005
  NPD
• Brianna Nicole Tilton, DC

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1053134981
  NPD (past)

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1053626499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1593 GALBRAITH SE",
            "address_2": "SUITE 205",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467140",
            "telephone_number": "616-949-1888",
            "fax_number": "616-949-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1593 GALBRAITH SE",
            "address_2": "SUITE 205",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467140",
            "telephone_number": "616-949-1888",
            "fax_number": "616-949-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILTON CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "TILTON",
        "authorized_official_first_name": "TRENT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "616-949-1888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelique Tijerina
• David Tillema, PMHNP
• Carol Tillotson, LLPC
• Ludwig Axel Philip Tilly
• Luke L Tilma, DO
• Brianna Nicole Tilton, DC
• Katherine Nicole Tilton, DC
• Tomasz A Timek, M.D.
• Cynthia Timm
• Shelby Timm

• Chiropractor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.