Individual provider Active NPI

Kirk Justin Semlow, DC

  • Chiropractor
  • Grand Haven, MI
National Provider Identifier
1265671606
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009436 Issued in MI
Practice address
302 S. Beechtree St.
Ste a
Grand Haven, MI 49417-2072
Phone
(616) 846-5000
Fax
(616) 846-5002
NPI assigned
Feb 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009436 MI Primary

Addresses

Primary practice location

302 S. Beechtree St.
Ste a
Grand Haven, MI 49417-2072

Mailing address

302 S. Beechtree St.
Ste a
Grand Haven, MI 49417-2072
Phone (616) 846-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090326000208 MI Practitioner - Chiropractic 2961569553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

302 S Beechtree St a
Grand Haven, MI 49417-2072
Phone (616) 846-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Semlow Peak Performance Chiropractic Chiropractor CurrentSince Mar 26, 2009 Accepting new patients

Locations

302 S Beechtree St
Ste A
Grand Haven, MI 49417
Phone (616) 846-5000

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": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1265671606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S. BEECHTREE ST.",
            "address_2": "STE A",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172072",
            "telephone_number": "616-846-5000",
            "fax_number": "616-846-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S. BEECHTREE ST.",
            "address_2": "STE A",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172072",
            "telephone_number": "616-846-5000",
            "fax_number": "616-846-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMLOW",
        "first_name": "KIRK",
        "middle_name": "JUSTIN",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-09",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009436",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 28, 2019; 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.