Organization Active NPI

Steven R Kraft DC LLC

  • Nutrition Chiropractor
  • Grand Haven, MI
National Provider Identifier
1205104916
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
2301007252 Issued in MI
Legal business name
STEVEN R KRAFT DC LLC
Practice address
300 N Ferry St
Ste D
Grand Haven, MI 49417-1166
Phone
(586) 337-3178
NPI assigned
Dec 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Authorized official

Name
Dr. Steven Robert Kraft, D.C.NPI 1104014000
Title
Owner
Phone
(586) 337-3178

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X 2301007252 MI Primary

Addresses

Primary practice location

300 N Ferry St
Ste D
Grand Haven, MI 49417-1166

Mailing address

300 N Ferry St
Ste D
Grand Haven, MI 49417-1166
Phone (586) 337-3178

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151021002284 MI Part B Supplier - Clinic/Group Practice 2365751930 Receives reassigned benefits from 1 practitioner
Practice locations: Zeeland, MI

National Provider Directory

National Provider Directory

Locations

300 N Ferry St
Ste D
Grand Haven, MI 49417
Phone (231) 465-1357

57319 Van Dyke Rd
Washington, MI 48094
Phone (586) 677-7200

201 W Main Ave
Zeeland, MI 49464
Phone (616) 846-6110

51 E Main Ave
Zeeland, MI 49464
Phone (616) 846-6110

10500 Chicago Dr
Ste 70
Zeeland, MI 49464
Phone (616) 846-6110

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": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1205104916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N FERRY ST",
            "address_2": "STE D",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171166",
            "telephone_number": "586-337-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N FERRY ST",
            "address_2": "STE D",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171166",
            "telephone_number": "586-337-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN R KRAFT DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "KRAFT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-337-3178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "MI",
            "license": "2301007252",
            "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 Feb 3, 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.