Matthew Vanover, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010517 Issued in MI

Practice address

135 E Superior St
Wayland, MI 49348-1137

Phone

(269) 792-9952

Fax

(269) 792-6459

NPI assigned

Feb 10, 2017

Last updated

Feb 10, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Full Potential Chiropractic, PCGroup PAC ID 1557529617, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Full Potential Chiropractic, PC

  • Chiropractor
  • Wayland, MI
  • NPI 1043408149
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1184162042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E SUPERIOR ST",
            "city": "WAYLAND",
            "state": "MI",
            "postal_code": "493481137",
            "telephone_number": "269-792-9952",
            "fax_number": "269-792-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E SUPERIOR ST",
            "city": "WAYLAND",
            "state": "MI",
            "postal_code": "493481137",
            "telephone_number": "269-792-9952",
            "fax_number": "269-792-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANOVER",
        "first_name": "MATTHEW",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Vander Slik
• Melissa Vandermeulen
• Vanessa Fitzpatrick LLC (Accessible Care Mobile Wellness)
• Megan Vanhouten
• Shelby Vankuiken
• Madalon Marie Veenstra, LMSW
• Elizabeth Marie Vela, COTA/L
• Joel Patrick Veldhouse, M.D.
• Tyler Mark Veneman, DDS
• Haley Vos, PA-C

• Chiropractor in Wayland, MI
• Providers in Wayland, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.