Organization Active NPI

Gilead River of Life, PLLC

  • Chiropractor
  • Lansing, MI
National Provider Identifier
1053846493
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007956 Issued in MI
Legal business name
GILEAD RIVER OF LIFE, PLLC
Practice address
306 S Creyts Rd
Lansing, MI 48917-8289
Phone
(517) 319-5818
Fax
(517) 319-5872
NPI assigned
Apr 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Authorized official

Name
Dr. Jean Guy Daigneault, DC
Title
Director
Phone
(517) 896-2971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301007956 MI Primary

Addresses

Primary practice location

306 S Creyts Rd
Lansing, MI 48917-8289

Mailing address

306 S Creyts Rd
Lansing, MI 48917-8289
Phone (517) 319-5818

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1053846493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 S CREYTS RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178289",
            "telephone_number": "517-319-5818",
            "fax_number": "517-319-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S CREYTS RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178289",
            "telephone_number": "517-319-5818",
            "fax_number": "517-319-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILEAD RIVER OF LIFE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "DAIGNEAULT",
        "authorized_official_first_name": "JEAN GUY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "517-896-2971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.