Daniel Komla Borti

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1345 Monroe Ave NW Ste 629
Grand Rapids, MI 49505-4671

Phone

(616) 512-3210

Fax

(855) 231-2592

NPI assigned

Aug 11, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1184509804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2752 ROYAL POINT DR NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495341354",
            "telephone_number": "307-343-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 MONROE AVE NW STE 629",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495054671",
            "telephone_number": "616-512-3210",
            "fax_number": "855-231-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORTI",
        "first_name": "DANIEL",
        "middle_name": "KOMLA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jayme Boros, NP
• Alyssa Marie Borr, OD
• Joseph Anthony Borrello, MD
• Vyvian Carole Frane Borse-Hatchett, MD
• Gina Menuez Borton, LLPC
• Kristina Borton, TLLP
• Madison Borucki
• Cindy R Bos, MD
• Karen Lynn Bos, PT

• Student in an Organized Health Care Education/Training Program in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Student in an Organized Health Care Education/Training Program in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.