Catherine Boufford, D.C.
Individual provider Active NPI Chiropractor · Spring Lake, MI
NPI 1144201872 · NPPES record last updated Oct 11, 2022
Key facts
- NPI
- 1144201872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2301008795 (MI)
- Practice address
- 510 W Savidge St Ste E
Spring Lake, MI 49456-3108 - Phone
- (616) 850-0588
- NPI assigned
- Nov 9, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sara Young, PLLC
Practice addresses (Care Compare)
510 W Savidge St
Suite E
Spring Lake, MI 49456-3108
Phone (616) 850-0588
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040811000953 | MI | Practitioner - Chiropractic | 4082686019 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CB008795 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sara Young, PLLC | Chiropractor | Current |
Accepting new patients |
| House Call Chiropractic and Wellness, PLLC | Chiropractor | Current |
Accepting new patients |
| Jason J Tiel DC PLLC | Chiropractor | Past |
Accepting new patients |
Locations
510 W Savidge St
Ste E
Spring Lake, MI 49456
Phone (231) 287-2035
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CB008795 | MI | |
| Chiropractor | 111N00000X | 2301008795 | MI | Yes |
Addresses
Primary practice location
510 W Savidge St Ste E
Spring Lake, MI 49456-3108
Mailing address
17575 N Fruitport Rd
Spring Lake, MI 49456-1879
Phone (517) 980-4914
Other practice location 1
4573 Willoughby Rd
Ste B
Holt, MI 48842-2188
Phone (517) 699-2646
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4470037 | Medicaid | MI |
Other providers in Spring Lake, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.