Organization Active NPI

Grand Rapids Medical Center Inc

  • Chiropractor
  • Wyoming, MI
National Provider Identifier
1114266053
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GRAND RAPIDS MEDICAL CENTER INC
Practice address
551 36TH St SE Unit D
Wyoming, MI 49548-2355
Phone
(616) 431-2001
NPI assigned
Feb 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Authorized official

Name
Karla Aviles
Title
Office Manager
Phone
(616) 431-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

551 36TH St SE Unit D
Wyoming, MI 49548-2355

Mailing address

551 36TH St SE Unit D
Wyoming, MI 49548-2355
Phone (616) 431-2001

National Provider Directory

National Provider Directory

Locations

551 36th St SE
Unit D
Wyoming, MI 49548
Phone (616) 431-2001

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1114266053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 36TH ST SE UNIT D",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495482355",
            "telephone_number": "616-431-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 36TH ST SE UNIT D",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495482355",
            "telephone_number": "616-431-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND RAPIDS MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-13",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "AVILES",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "616-431-2001"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.