Organization Active NPI

Harvey Chiropractic, LLC

  • Chiropractor
  • Grand Haven, MI
National Provider Identifier
1194171348
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010409 Issued in MI
Legal business name
HARVEY CHIROPRACTIC, LLC
Practice address
302 S Beechtree St
Grand Haven, MI 49417-2071
Phone
(616) 846-5000
NPI assigned
May 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Authorized official

Name
Dr. Theresa Louise Harvey, D.C,
Title
Dr. of Chiropractic
Phone
(207) 951-6654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301010409 MI Primary

Addresses

Primary practice location

302 S Beechtree St
Grand Haven, MI 49417-2071

Mailing address

4084 Lakeshore Dr N
Holland, MI 49424-5625
Phone (207) 951-6654

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161003002482 MI Part B Supplier - Clinic/Group Practice 4183911373 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Haven, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1194171348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4084 LAKESHORE DR N",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494245625",
            "telephone_number": "207-951-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S BEECHTREE ST",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172071",
            "telephone_number": "616-846-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-06",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "DR. OF CHIROPRACTIC",
        "authorized_official_telephone_number": "207-951-6654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C,"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.