Cascade Chiropractic Clinic, P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

2301004272 Issued in MI

Legal business name

CASCADE CHIROPRACTIC CLINIC, P.C.

Practice address

6151 28TH St SE
Grand Rapids, MI 49546-6935

Phone

(616) 942-0081

Fax

(616) 942-7517

NPI assigned

May 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mark A Kline, D.C.NPI 1679522460

Title

President

Phone

(616) 942-0081

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Mark Allen Kline, D.C.

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1679522460
  Medicare reassignment Care Compare group Authorized official
• Molly Grace Graham

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1265387492
  Medicare reassignment Care Compare group NPD
• Trevor Charles Kline, DC

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1376206185
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1083881700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6151 28TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466935",
            "telephone_number": "616-942-0081",
            "fax_number": "616-942-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 28TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466935",
            "telephone_number": "616-942-0081",
            "fax_number": "616-942-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-942-0081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "2301004272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2117147",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Javiera Ignacia Carvajal-Barrientos
• Jeffrey Bernard Casamento, M.D.
• Gina Casanova
• Mara Lisa Casarez, NP
• Cascade Care Center, Inc
• Cascade Comprehensive Medical Care, P.C.
• Cascade Counseling & Recovery LLC
• Cascade Family Dental Group
• Cascade Family Dentistry PC
• Cascade Medical Testing Lab, Inc.

• Clinic/Center in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.