Individual provider Active NPI

Jonathan Howard Vahue, D.C.

  • Chiropractor
  • Kalamazoo, MI
National Provider Identifier
1114052115
Registry record updated Sep 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007884 Issued in MI
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

Updated by the provider on Sep 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1114052115OtherMIINDIVIDUAL NPI
1629103528OtherMIGROUP NPI
0P02900OtherMIMEDICARE GROUP PIN
950C91206OtherMIBLUE CROSS BLUE SHIELD PIN
P2900001OtherMIMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
2301007884MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Family Chiropractic Inc Chiropractor CurrentSince Jul 29, 2004 Accepting new patients
A Radiant Mind Professional Counseling Services, PLLC PastSince Jul 9, 2023 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.

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.

Verify at the official NPI Registry.