Organization Active NPI

Vickers Ak Chiropractic, P.C.

  • Chiropractor
  • Holland, MI
National Provider Identifier
1326218801
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VICKERS AK CHIROPRACTIC, P.C.
Practice address
1 S Waverly Rd
Suite 3
Holland, MI 49423-3016
Phone
(616) 738-1200
NPI assigned
Mar 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Dr. Joel Brian Vickers, D.C.
Title
Owner
Phone
(616) 738-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1 S Waverly Rd
Suite 3
Holland, MI 49423-3016

Mailing address

1 S Waverly Rd
Suite 3
Holland, MI 49423-3016
Phone (616) 738-1200

National Provider Directory

National Provider Directory

Locations

1 S Waverly Rd
Ste 3
Holland, MI 49423
Phone (616) 738-1200

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1326218801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S WAVERLY RD",
            "address_2": "SUITE 3",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233016",
            "telephone_number": "616-738-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S WAVERLY RD",
            "address_2": "SUITE 3",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233016",
            "telephone_number": "616-738-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKERS AK CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "VICKERS",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-738-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 Mar 25, 2008; 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.