Individual provider Active NPI

Addison Lohman, DC

  • Chiropractor
  • Muskegon, MI
National Provider Identifier
1124616412
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301011038 Issued in MI
Practice address
1877 N Getty St
Muskegon, MI 49445-8563
Phone
(231) 744-5200
Fax
(231) 744-9484
NPI assigned
Jan 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301011038 MI Primary

Addresses

Primary practice location

1877 N Getty St
Muskegon, MI 49445-8563

Mailing address

620 Holton Rd Ste B
Muskegon, MI 49445-3343
Phone (231) 744-5200

Other identifiers 1

IdentifierTypeStateIssuer
2301011038OtherMISTATE LICENSE

Other names 1

  • Addison Walstra Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address billing@lakewindschiro.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210121000970 MI Practitioner - Chiropractic 7315351087 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Stachowicz Chiropractic LLCGroup PAC ID 0648606467, 2 clinicians

Practice addresses (Care Compare)

896 E Apple Ave
Muskegon, MI 49442-3738
Phone (231) 773-4716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewinds Chiropractic Center PLC Chiropractor CurrentSince Jan 1, 2021 Accepting new patients
Stachowicz Chiropractic, LLC Chiropractor CurrentSince Sep 26, 2023 Accepting new patients
Privamd Physicians PLLC Current Accepting new patients

Locations

896 E Apple Ave
Muskegon, MI 49442
Phone (231) 773-4716

620 Holton Rd
Ste B
North Muskegon, MI 49445
Phone (231) 744-5200

1877 N Getty St
North Muskegon, MI 49445
Phone (231) 728-5052

Organizations & group practices 3

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": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1124616412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 HOLTON RD STE B",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494453343",
            "telephone_number": "231-744-5200",
            "fax_number": "231-744-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1877 N GETTY ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494458563",
            "telephone_number": "231-744-5200",
            "fax_number": "231-744-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOHMAN",
        "first_name": "ADDISON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301011038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2301011038",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@lakewindschiro.com",
            "affiliation": "N",
            "address_1": "620 Holton Rd Ste B",
            "city": "Muskegon",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494453343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ADDISON",
            "last_name": "WALSTRA",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.