Active NPI
Stacey Fischer, D.C.
- Chiropractor
- Grand Rapids, MI
National Provider Identifier
1093852089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301008504
- Practice address
- 2851 Michigan St NE
Suite 101
Grand Rapids, MI 49506-1215 - Phone
- (616) 940-7027
- Fax
- (616) 940-2092
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301008504 | MI | Primary |
Addresses
Primary practice location
2851 Michigan St NE
Suite 101
Grand Rapids, MI 49506-1215
Mailing address
2851 Michigan St NE
Suite 101
Grand Rapids, MI 49506-1215
Phone (616) 940-7027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301008504 | MI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093852089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2851 MICHIGAN ST NE",
"address_2": "SUITE 101",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495061215",
"telephone_number": "616-940-7027",
"fax_number": "616-940-2092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2851 MICHIGAN ST NE",
"address_2": "SUITE 101",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495061215",
"telephone_number": "616-940-7027",
"fax_number": "616-940-2092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHER",
"first_name": "STACEY",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301008504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.