Van Dyke Spine Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

VAN DYKE SPINE CENTER

Practice address

27423 Van Dyke Avenue
Warren, MI 48093

Phone

(586) 782-4731

NPI assigned

Sep 1, 2016

Last updated

Sep 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Katz, DC

Title

President

Phone

(586) 782-4731

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1114474715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27423 VAN DYKE AVENUE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27423 VAN DYKE AVENUE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48093",
            "telephone_number": "586-782-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN DYKE SPINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-782-4731",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Kay Vacante, OTRL
• Hannah Van Allen, N.P
• David J Van Dam, CRNA
• Van Dyke Partners LLC (Windemere Park Health & Rehab Center)
• Van Dyke Spinal Rehabilitation
• Martha A. Vanbelle, MS, R.PH.
• Aubri Vanbrabant
• Adam Vance
• Lori Vance
• Miranda Vancoppenolle

• Chiropractor in Warren, MI
• Providers in Warren, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.