Organization Active NPI

C & R Family Chiropractic Center

  • Chiropractor
  • Grand Rapids, MI
National Provider Identifier
1326125345
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
RS008936 Issued in MI
Legal business name
C & R FAMILY CHIROPRACTIC CENTER
Practice address
6208 Kalamazoo Ave SE Ste C
Grand Rapids, MI 49508-7022
Phone
(616) 554-0077
Fax
(616) 554-0055
NPI assigned
Nov 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ryan L Sorrell, DCNPI 1912096819
Title
Owner
Phone
(616) 554-0077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X RS008936 MI Primary

Addresses

Primary practice location

6208 Kalamazoo Ave SE Ste C
Grand Rapids, MI 49508-7022

Mailing address

6208 Kalamazoo Ave SE Ste C
Grand Rapids, MI 49508-7022
Phone (616) 554-0077

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061107000187 MI Part B Supplier - Clinic/Group Practice 9335146281 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Rapids, MI

National Provider Directory

National Provider Directory

Locations

6208 Kalamazoo Ave SE
Ste C
Grand Rapids, MI 49508
Phone (616) 554-0077

6208 Kalamazoo Ave SE
Kentwood, MI 49508
Phone (616) 554-0077

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326125345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6208 KALAMAZOO AVE SE STE C",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495087022",
            "telephone_number": "616-554-0077",
            "fax_number": "616-554-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6208 KALAMAZOO AVE SE STE C",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495087022",
            "telephone_number": "616-554-0077",
            "fax_number": "616-554-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & R FAMILY CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SORRELL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-554-0077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "RS008936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • 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.