Lisa Konynenbelt, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010340 Issued in MI

Practice address

5570 Wilson Ave SW
Ste L
Wyoming, MI 49418-8867

Phone

(616) 566-0882

NPI assigned

Oct 6, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Peerbolt Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Novo Chiropractic PLLCGroup PAC ID 5991087041, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Novo Chiropractic PLLC

  • Chiropractor
  • Wyoming, MI
  • NPI 1417328659
  Medicare reassignment Care Compare group NPD
• Novo Chiropractic 131 South PLLC

  • Chiropractor
  • Wyoming, MI
  • NPI 1215406186
  NPD
• Novo Chiropractic North, PLLC

  • Chiropractor
  • Belmont, MI
  • NPI 1114497112
  NPD
• Balance GR

  • Chiropractor
  • Wyoming, MI
  • NPI 1295158053
  NPD (past)

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1053781856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5570 WILSON AVE SW STE MN",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "494188867",
            "telephone_number": "616-259-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 WILSON AVE SW",
            "address_2": "STE L",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "494188867",
            "telephone_number": "616-566-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONYNENBELT",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-06",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "PEERBOLT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Lee Kolasa
• Arnold Mark Koldenhoven Jr., D.C.
• Joshua Kolman, PHARM.D.
• Margaret Anne Konwinski, NP
• Joshua Konynenbelt, D.C., M.S.
• Emily Hope Kooienga
• Jack A Kooienga, APRN
• Kooistra Chiropractic Clinic PLLC
• Charles Scott Kooistra, DC
• Gerald B Kooistra, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.