Organization Active NPI

Novo Chiropractic 131 South PLLC

  • Chiropractor
  • Wyoming, MI
National Provider Identifier
1215406186
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NOVO CHIROPRACTIC 131 SOUTH PLLC
Practice address
1851 44TH St SW Ste N
Wyoming, MI 49519-6440
Phone
(616) 538-9880
NPI assigned
Nov 20, 2018
Last updated
Nov 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Authorized official

Name
Dr. Joshua Konynenbelt, DC
Title
Owner
Phone
(616) 258-9880

Specialties & licenses 1

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

Addresses

Primary practice location

1851 44TH St SW Ste N
Wyoming, MI 49519-6440

Mailing address

1851 44TH St SW Ste N
Wyoming, MI 49519-6440
Phone (616) 538-9880

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1215406186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 44TH ST SW STE N",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495196440",
            "telephone_number": "616-538-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 44TH ST SW STE N",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495196440",
            "telephone_number": "616-538-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVO CHIROPRACTIC 131 SOUTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "KONYNENBELT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-258-9880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.