Individual provider Active NPI

Blake Collins, DC

  • Chiropractor
  • Holland, MI
National Provider Identifier
1265029862
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301011035 Issued in MI
Practice address
98 Douglas Ave Ste 30
Holland, MI 49424-2154
Phone
(616) 294-8376
NPI assigned
Dec 29, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301011035 MI Primary

Addresses

Primary practice location

98 Douglas Ave Ste 30
Holland, MI 49424-2154

Mailing address

98 Douglas Ave Ste 30
Holland, MI 49424-2154
Phone (616) 294-8376

Other practice location 1

340 E Lakewood Blvd Ste 10
Holland, MI 49424-5097
Phone (616) 294-8376

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210120000146 MI Practitioner - Chiropractic 9739592403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innate Integrity Chiropractic LLCGroup PAC ID 1355610189, 3 clinicians

Practice addresses (Care Compare)

340 E Lakewood Blvd
Suite 10
Holland, MI 49424-5097
Phone (616) 294-8376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301011035MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Innate Integrity Chiropractic LLC Chiropractor CurrentSince Dec 23, 2020 Accepting new patients
Diamond Health Ventures PLLC Chiropractor CurrentSince Jun 1, 2026 Accepting new patients

Locations

98 Douglas Ave
Ste 30
Holland, MI 49424
Phone (616) 294-8376

340 E Lakewood Blvd
Ste 10
Holland, MI 49424
Phone (616) 294-8376

Organizations & group practices 2

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": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1265029862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 DOUGLAS AVE STE 30",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242154",
            "telephone_number": "616-294-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 DOUGLAS AVE STE 30",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242154",
            "telephone_number": "616-294-8376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 E Lakewood Blvd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "MI",
            "postal_code": "494245097",
            "country_code": "US",
            "telephone_number": "616-294-8376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-29",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301011035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.