Wolters Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010407 Issued in MI

Legal business name

WOLTERS CHIROPRACTIC PLLC

Practice address

12719 Riley St Ste 80
Holland, MI 49424-9216

Phone

(616) 738-8000

NPI assigned

Aug 22, 2017

Organization subpart

No

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

Authorized official

Name

Brian Jacob Wolters, D.CNPI 1902355076

Title

Doctor of Chiropractic

Phone

(616) 738-8000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

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

• Brian Jacob Wolters, D.C.

  • Chiropractor
  • Jenison, MI
  • NPI 1902355076
  Medicare reassignment NPD Authorized official
• Joseph Michael Shuluga Jr., D.C.

  • Chiropractor
  • Seven Fields, PA
  • NPI 1114228673
  NPD

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503360000000",
    "number": "1225554256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12719 RILEY ST STE 80",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494249216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12719 RILEY ST STE 80",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494249216",
            "telephone_number": "616-738-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLTERS CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-22",
        "last_updated": "2017-08-22",
        "status": "A",
        "authorized_official_last_name": "WOLTERS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "616-738-8000",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Gerard Wolf, PA-C
• Joel R Wolfe, M.D.
• Regina Ann Wolma
• Bethany Wolter, BSN, RN, CDE
• Kaylin Wolter, DMD
• Brooke Wolters, LLMSW
• Stacilyn Wolters
• Aleshia Wolthuis
• David Wood
• Dirk Greg Wood, MD JD

• Chiropractor in Holland, MI
• Providers in Holland, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; 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.