Organization Active NPI

Fowler Chiropractic PC

  • Rehabilitation Chiropractor
  • Holland, MI
National Provider Identifier
1285806133
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
TF005434 Issued in MI
Legal business name
FOWLER CHIROPRACTIC PC
Practice address
335 N 120TH Ave
Holland, MI 49424-2118
Phone
(616) 392-3363
Fax
(616) 392-9030
NPI assigned
Apr 1, 2008
Last updated
Jan 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Mrs. Rebecca Ott
Title
Practice Manager
Phone
(616) 392-3363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X TF005434 MI Primary

Addresses

Primary practice location

335 N 120TH Ave
Holland, MI 49424-2118

Mailing address

335 N 120TH Ave
Holland, MI 49424-2118
Phone (616) 392-3363

National Provider Directory

National Provider Directory

Locations

335 N 120th Ave
Holland, MI 49424
Phone (616) 392-3363

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1285806133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 N 120TH AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242118",
            "telephone_number": "616-392-3363",
            "fax_number": "616-392-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 N 120TH AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242118",
            "telephone_number": "616-392-3363",
            "fax_number": "616-392-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOWLER CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "616-392-3363",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MI",
            "license": "TF005434",
            "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 Jan 6, 2012; 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.