Active NPI
Jonathan Howard Vahue, D.C.
- Chiropractor
- Kalamazoo, MI
National Provider Identifier
1114052115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301007884
- Practice address
- 3234 S Westnedge Ave
Kalamazoo, MI 49008-2903 - Phone
- (269) 567-4111
- Fax
- (269) 567-4113
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- 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 | 2301007884 | MI | Primary |
Addresses
Primary practice location
3234 S Westnedge Ave
Kalamazoo, MI 49008-2903
Mailing address
3234 S Westnedge Ave
Kalamazoo, MI 49008-2903
Phone (269) 567-4111
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114052115 | Other | MI | INDIVIDUAL NPI |
| 1629103528 | Other | MI | GROUP NPI |
| 0P02900 | Other | MI | MEDICARE GROUP PIN |
| 950C91206 | Other | MI | BLUE CROSS BLUE SHIELD PIN |
| P2900001 | Other | MI | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041116000040 | MI | Practitioner - Chiropractic | 7416911862 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3234 S Westnedge Ave
Kalamazoo, MI 49008-2903
Phone (269) 567-4111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301007884 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Family Chiropractic Inc | Chiropractor | Current | Accepting new patients |
| A Radiant Mind Professional Counseling Services, PLLC | Past | Accepting new patients |
Locations
1850 Whites Rd
Ste 5
Kalamazoo, MI 49008
Phone (269) 808-0618
3234 S Westnedge Ave
Kalamazoo, MI 49008
Phone (269) 345-5776
Organizations & group practices 2
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.
-
- Chiropractor
- Kalamazoo, MI
- NPI 1629103528
-
- Clinical Social Worker
- Kalamazoo, MI
- NPI 1447983010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536364800000",
"number": "1114052115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3234 S WESTNEDGE AVE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490082903",
"telephone_number": "269-567-4111",
"fax_number": "269-567-4113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3234 S WESTNEDGE AVE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490082903",
"telephone_number": "269-567-4111",
"fax_number": "269-567-4113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAHUE",
"first_name": "JONATHAN",
"middle_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2018-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301007884",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1114052115",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1629103528",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN",
"identifier": "0P02900",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD PIN",
"identifier": "950C91206",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "P2900001",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2018; 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.