Active NPI
Yoisler Herrera Sr., M.D
- Rehabilitation Chiropractor
- Grand Rapids, MI
National Provider Identifier
1144568502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- MA 62516
- Practice address
- 2055 28TH St SE Ste 7
Grand Rapids, MI 49508-1582 - Phone
- (616) 245-7013
- Fax
- (616) 245-7018
- NPI assigned
- Jan 19, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | MA 62516 | FL | Primary |
Addresses
Primary practice location
2055 28TH St SE Ste 7
Grand Rapids, MI 49508-1582
Mailing address
1904 Prairie Pkwy SW Apt 53
Wyoming, MI 49519-2655
Phone (786) 398-0609
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 62516 | FL | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Rehab Center LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Grand Rapids, MI
- NPI 1821362278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358553600000",
"number": "1144568502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1904 PRAIRIE PKWY SW APT 53",
"city": "WYOMING",
"state": "MI",
"postal_code": "495192655",
"telephone_number": "786-398-0609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 28TH ST SE STE 7",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495081582",
"telephone_number": "616-245-7013",
"fax_number": "616-245-7018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "YOISLER",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-19",
"last_updated": "2013-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "FL",
"license": "MA 62516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.