Phaedra Iafano, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009057 Issued in MI

Practice address

4270 Plainfield Ave NE
Grand Rapids, MI 49525-1603

Phone

(616) 364-6275

NPI assigned

Jul 31, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Chiropractic Unlimited, PLLC

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1518984566
  NPD (past)
• Volz Family Chiropractic PLLC

  • Chiropractor
  • Holt, MI
  • NPI 1093867939
  NPD (past)

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1275723702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4270 PLAINFIELD AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4270 PLAINFIELD AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251603",
            "telephone_number": "616-364-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IAFANO",
        "first_name": "PHAEDRA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Marie-Balaj Hyzer, NP
• HZ Chiro GR PC
• I Care Optics LLC
• John J Iacobucci, M.D.
• Miranda Iacopelli, NP
• Shannon Kathleen Iakiri, N.P.
• Katherine Iandoli, OTR
• Karina Ibarra Gomez
• Marina Rocio Ibarra Lavigne, PA
• Victor Ibarra

• Chiropractor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.