Organization Active NPI

Kmwa, LLC

Doing business as Simply Chiropractic

  • Chiropractor
  • Rockford, MI
National Provider Identifier
1194981753
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009047 Issued in MI
Legal business name
KMWA, LLC
Doing business as
Simply Chiropractic
Practice address
6575 Belding Rd NE
Suite C
Rockford, MI 49341-7418
Phone
(616) 874-8777
Fax
(616) 874-8835
NPI assigned
Aug 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Dr. Lori Lynn Walenga, D.C.
Title
Member
Phone
(616) 874-8777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301009047 MI Primary

Addresses

Primary practice location

6575 Belding Rd NE
Suite C
Rockford, MI 49341-7418

Mailing address

6575 Belding Rd NE
Suite C
Rockford, MI 49341-7418
Phone (616) 874-8777

Other names 1

  • Simply Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

6575 Belding Rd NE
Rockford, MI 49341
Phone (616) 874-8777

6575 Belding Rd NE
Ste C
Rockford, MI 49341
Phone (616) 874-8777

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1194981753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6575 BELDING RD NE",
            "address_2": "SUITE C",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493417418",
            "telephone_number": "616-874-8777",
            "fax_number": "616-874-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6575 BELDING RD NE",
            "address_2": "SUITE C",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493417418",
            "telephone_number": "616-874-8777",
            "fax_number": "616-874-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMWA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "WALENGA",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "616-874-8777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simply Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.