Organization Active NPI

Zuidema Chiropractic PLLC

  • Chiropractor
  • Grandville, MI
National Provider Identifier
1124777842
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ZUIDEMA CHIROPRACTIC PLLC
Practice address
36 44TH St SW
Grandville, MI 49418-2177
Phone
(616) 457-5700
Fax
(616) 457-1795
NPI assigned
Mar 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Authorized official

Name
Dr. Lance Charles Zuidema, DCNPI 1982963161
Title
Owner/Clinic Director
Phone
(616) 457-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

36 44TH St SW
Grandville, MI 49418-2177

Mailing address

36 44TH St SW
Grandville, MI 49418-2177
Phone (616) 457-5700

Other practice location 1

4320 44th St SW STE 103
Grandville, MI 49418-2300
Phone (616) 457-5700

Other names 1

  • Mission Chiropractic and Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220708002404 MI Part B Supplier - Clinic/Group Practice 4486034329 Receives reassigned benefits from 4 practitioners
Practice locations: Grandville, MI

National Provider Directory

National Provider Directory

Locations

4320 44th St SW
Ste 103
Grandville, MI 49418
Phone (616) 826-4814

Practitioners & affiliated clinicians

Practitioners 4

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": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1124777842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 44TH ST SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182177",
            "telephone_number": "616-457-5700",
            "fax_number": "616-457-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 44TH ST SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182177",
            "telephone_number": "616-457-5700",
            "fax_number": "616-457-1795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4320 44th St SW STE 103",
            "address_purpose": "LOCATION",
            "city": "Grandville",
            "state": "MI",
            "postal_code": "494182300",
            "country_code": "US",
            "telephone_number": "616-457-5700",
            "fax_number": "616-457-1795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ZUIDEMA CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "ZUIDEMA",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/CLINIC DIRECTOR",
        "authorized_official_telephone_number": "616-457-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Chiropractic and Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grandville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.