De Young Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009069 Issued in MI

Legal business name

DE YOUNG CHIROPRACTIC, P.C.

Practice address

400 68TH St SW
Grand Rapids, MI 49548-7120

Phone

(616) 281-2500

Fax

(616) 281-2502

NPI assigned

Jun 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gretchen Elise De Young, D.C.NPI 1790747616

Title

Owner

Phone

(616) 281-2500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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

• Lauren Richards, D.C.

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1154780583
  Medicare reassignment Care Compare group NPD
• Aaron Robert De Young, D.C.

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1255378956
  Medicare reassignment Care Compare group
• Gretchen Elise De Young, D.C.

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1790747616
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326076415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 68TH ST SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495487120",
            "telephone_number": "616-281-2500",
            "fax_number": "616-281-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 68TH ST SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495487120",
            "telephone_number": "616-281-2500",
            "fax_number": "616-281-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE YOUNG CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DE YOUNG",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-281-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lara De Stefano, MD
• Brian J De Vos, MSW
• Susan De Waard, M.A., LLP
• Craig A De Witt, PSY.D.
• Daniel J De Witt, PSY.D.
• Aaron Robert De Young, D.C.
• Gretchen Elise De Young, D.C.
• Andrew Michel De Zwaan, DDS
• Sarah Maria De Zwaan, DDS
• Gregory Scot Deacon, LLP

• 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.