Simple Truth Chiropractic of Lake Odessa

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SIMPLE TRUTH CHIROPRACTIC OF LAKE ODESSA

Practice address

1001 4TH Ave
Lake Odessa, MI 48849-1069

Phone

(616) 755-1211

NPI assigned

Feb 23, 2021

Last updated

Jun 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexander Le BonNPI 1013312800

Title

Member

Phone

(616) 204-4794

Specialties & licenses 1

Addresses

Other names 1

• Simple Truth Chiropractic of Lake Odessa Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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.

• Alexander Le Bon, D.C.

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1013312800
  Medicare reassignment NPD Authorized official
• Kristin Satterly, DC

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1649812033
  Medicare reassignment NPD

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1245824036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 4TH AVE",
            "city": "LAKE ODESSA",
            "state": "MI",
            "postal_code": "488491069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 4TH AVE",
            "city": "LAKE ODESSA",
            "state": "MI",
            "postal_code": "488491069",
            "telephone_number": "616-755-1211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13287 Jackson Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Odessa",
            "state": "MI",
            "postal_code": "488499595",
            "country_code": "US",
            "telephone_number": "616-458-8063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIMPLE TRUTH CHIROPRACTIC OF LAKE ODESSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "LE BON",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "616-204-4794"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simple Truth Chiropractic of Lake Odessa",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pennock Hospital (Corewell Health Pennock Hospital Family Medicine - Lake Odessa)
• Pennock Hospital Board of Trustees (Pennock Hospital Lake Odessa Sat Lab)
• Pine Rest Christian Mental Health Services (Pine Rest Lake Odessa Office)
• Lori Lynn Potter, ARDMS
• Julie M Powell, OD
• Spectrum Health Primary Care Partners (Corewell Health Medical Group West)
• Spectrum Health United
• Lee O Stuart, MD
• Brian Willis Swanton, MD
• Christine Margaret Thomas, RPH

• Chiropractor in Lake Odessa, MI
• Providers in Lake Odessa, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.