Individual provider Active NPI

Catherine Boufford, D.C.

  • Chiropractor
  • Spring Lake, MI
National Provider Identifier
1144201872
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008795 Issued in MI
Practice address
510 W Savidge St Ste E
Spring Lake, MI 49456-3108
Phone
(616) 850-0588
NPI assigned
Nov 9, 2005
Last updated
Oct 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CB008795 MI
Chiropractor 111N00000X 2301008795 MI Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040811000953 MI Practitioner - Chiropractic 4082686019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sara Young, PLLCGroup PAC ID 9335277011, 2 clinicians

Practice addresses (Care Compare)

510 W Savidge St
Suite E
Spring Lake, MI 49456-3108
Phone (616) 850-0588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CB008795MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
House Call Chiropractic and Wellness, PLLC Chiropractor CurrentSince Oct 16, 2022 Accepting new patients
Sara Young, PLLC Chiropractor CurrentSince Mar 1, 2021 Accepting new patients
Jason J Tiel DC PLLC Chiropractor PastSince Mar 1, 2021 Accepting new patients

Locations

510 W Savidge St
Ste E
Spring Lake, MI 49456
Phone (231) 287-2035

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1144201872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17575 N FRUITPORT RD",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494561879",
            "telephone_number": "517-980-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W SAVIDGE ST STE E",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494563108",
            "telephone_number": "616-850-0588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4573 Willoughby Rd",
            "address_2": "Ste B",
            "address_purpose": "LOCATION",
            "city": "Holt",
            "state": "MI",
            "postal_code": "488422188",
            "country_code": "US",
            "telephone_number": "517-699-2646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUFFORD",
        "first_name": "CATHERINE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "CB008795",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.