Active NPI
Parkhurst Chiropractic Life Center PLC
- Chiropractor
- Holland, MI
National Provider Identifier
1104855006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- PARKHURST CHIROPRACTIC LIFE CENTER PLC
- Practice address
- 364 Garden Ave
Holland, MI 49424-8656 - Phone
- (616) 392-9500
- Fax
- (616) 392-9662
- NPI assigned
- Jul 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Karla Anne Parkhurst, D.C.
- Title
- Chiropractor
- Phone
- (616) 392-9500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
364 Garden Ave
Holland, MI 49424-8656
Mailing address
364 Garden Ave
Holland, MI 49424-8656
Phone (616) 392-9500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950G010320 | Other | MI | BLUE CROSS BLUE SHIELD |
| DA8102 | Other | MI | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040115000077 | MI | Part B Supplier - Clinic/Group Practice | 7416858337 |
Receives reassigned benefits from 6 practitioners Practice locations: Holland, MI |
National Provider Directory
National Provider DirectoryLocations
364 Garden Ave
Holland, MI 49424
Phone (616) 392-9500
11975 E Lakewood Blvd
Ste 3
Holland, MI 49424
Phone (616) 392-9500
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Holland, MI
- NPI 1457347916
-
- Chiropractor
- Holland, MI
- NPI 1831185180
-
- Chiropractor
- Holland, MI
- NPI 1033432810
-
- Chiropractor
- Holland, MI
- NPI 1467565952
-
- Chiropractor
- Holland, MI
- NPI 1073051611
-
- Chiropractor
- Wyoming, MI
- NPI 1003457532
-
- Chiropractor
- Jenison, MI
- NPI 1346241742
-
- Chiropractor
- Baton Rouge, LA
- NPI 1629006366
-
- Chiropractor
- Redwood City, CA
- NPI 1114063401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655164800000",
"number": "1104855006",
"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": "494248656",
"telephone_number": "616-392-9500",
"fax_number": "616-392-9662"
},
{
"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",
"fax_number": "616-392-9662"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKHURST CHIROPRACTIC LIFE CENTER PLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-02",
"last_updated": "2022-06-14",
"certification_date": "2022-06-14",
"status": "A",
"authorized_official_last_name": "PARKHURST",
"authorized_official_first_name": "KARLA",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "616-392-9500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "950G010320",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DA8102",
"state": "MI"
}
],
"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 Jun 14, 2022; 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.