Individual provider Active NPI

Russell Sweet, D.C.

  • Chiropractor
  • Holland, MI
National Provider Identifier
1073051611
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010565 Issued in MI
Practice address
364 Garden Ave
Holland, MI 49424-8656
Phone
(616) 392-9500
NPI assigned
Feb 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4724 NC
Chiropractor 111N00000X 2301010565 MI Primary

Addresses

Primary practice location

364 Garden Ave
Holland, MI 49424-8656

Mailing address

364 Garden Ave.
Holland, MI 49424
Phone (616) 392-9500

Other practice location 1

6768 Gordon Rd
Wilmington, NC 28411-8464
Phone (910) 313-1003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170815004258 MI Practitioner - Chiropractic 9537431259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkhurst Chiropractic Life Center PLCGroup PAC ID 7416858337, 5 clinicians

Practice addresses (Care Compare)

364 Garden Ave
Holland, MI 49424-8656
Phone (616) 392-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4724NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Parkhurst Chiropractic Life Center PLC Chiropractor CurrentSince Aug 1, 2017 Accepting new patients
Ledford Chiropractic PLLC Chiropractor PastSince Oct 29, 2023 Accepting new patients
Sweet Chiropractic Chiropractor Past Accepting new patients

Locations

364 Garden Ave
Holland, MI 49424
Phone (616) 392-9500

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1073051611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 GARDEN AVE.",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "49424",
            "telephone_number": "616-392-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 GARDEN AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248656",
            "telephone_number": "616-392-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6768 Gordon Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284118464",
            "country_code": "US",
            "telephone_number": "910-313-1003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWEET",
        "first_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4724",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.