Great Lakes Chiropractic Partners

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

Legal business name

GREAT LAKES CHIROPRACTIC PARTNERS

Doing business as

Great Lakes Functional Neurology

Practice address

5136 Cascade Rd SE Ste 1D
Grand Rapids, MI 49546-3728

Phone

(810) 310-1207

NPI assigned

Nov 25, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Sass, DC

Title

Owner

Phone

(810) 310-1207

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Great Lakes Functional Neurology Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Sass, DC, DACNB, FABBIR

  • Neurology Chiropractor
  • Grand Rapids, MI
  • NPI 1699139279
  NPD

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

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684540800000",
    "number": "1295445799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5136 CASCADE RD SE STE 1D",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463728",
            "telephone_number": "181-031-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5136 CASCADE RD SE STE 1D",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463728",
            "telephone_number": "810-310-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES CHIROPRACTIC PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-25",
        "last_updated": "2023-05-20",
        "certification_date": "2023-05-20",
        "status": "A",
        "authorized_official_last_name": "SASS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-310-1207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1063876837",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1699139279",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Lakes Functional Neurology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Great Lakes Functional Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Baylie Grayeb
• Amelia Rose Grayson, DNP, NP-C
• Charles E. Grayson, PH.D.
• Jesse Grazewski
• Great Lakes Behavioral Health PLC
• Great Lakes Dental Care P.C.
• Great Lakes Hearing
• Great Lakes Jaw Surgery, PC
• Great Lakes Neurosurgical Associates, PC
• Great Lakes Neurosurgical Associates, PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2023; 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.