Linda S. Squires, D.C., P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010164 Issued in MI

Legal business name

LINDA S. SQUIRES, D.C., P.C.

Practice address

3368 E Beltline CT NE
Grand Rapids, MI 49525-9480

Phone

(800) 987-1368

Fax

(616) 363-6679

NPI assigned

Aug 28, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Lind Sue Squires, D.C.

Title

President

Phone

(617) 538-8152

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda S Squires, DC

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1851495840
  Medicare reassignment NPD
• David Charles Schroeder, LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1104840537
  NPD (past)

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1104226067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2059 COLLEGE AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495073101",
            "telephone_number": "617-538-8152",
            "fax_number": "616-363-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3368 E BELTLINE CT NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259480",
            "telephone_number": "800-987-1368",
            "fax_number": "616-363-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA S. SQUIRES, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "SQUIRES",
        "authorized_official_first_name": "LIND",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-538-8152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel K Lin, M.D.
• Marissa Carmen Linares
• Lincare Inc.
• John F Linck Jr., PH.D.
• Eric Lind, MD
• Kristin Noel Lindblom
• Amy Morgan Linde, MA, CCC-SLP
• Victoria Lindegaard, MD
• Amber Marva Lindeman, NP
• Emma Leah Lindemann, MD

• Chiropractor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.