Individual provider Active NPI

Jennifer Zelenka-Rauch, DC

  • Chiropractor
  • Grand Haven, MI
National Provider Identifier
1245230291
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007440 Issued in MI
Practice address
950 Taylor Ave
Suite 170
Grand Haven, MI 49417-2282
Phone
(616) 842-8999
NPI assigned
Jul 29, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301007440 MI Primary

Addresses

Primary practice location

950 Taylor Ave
Suite 170
Grand Haven, MI 49417-2282

Mailing address

950 Taylor Ave
Suite 170
Grand Haven, MI 49417-2282
Phone (616) 842-8999

Other identifiers 3

IdentifierTypeStateIssuer
900016838OtherMIPRIORITY HEALTH
144678917MedicaidMI
950G010810OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301007440MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Zelenka Rauch DC LLC Chiropractor PastSince Jul 1, 1997 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1245230291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 TAYLOR AVE",
            "address_2": "SUITE 170",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172282",
            "telephone_number": "616-842-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 TAYLOR AVE",
            "address_2": "SUITE 170",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172282",
            "telephone_number": "616-842-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELENKA-RAUCH",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "900016838",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144678917",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950G010810",
            "state": "MI"
        }
    ],
    "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 Aug 6, 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.