Individual provider Active NPI

Steven James Swindle, DC

  • Chiropractor
  • Hudsonville, MI
National Provider Identifier
1336238377
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008574 Issued in MI
Practice address
5795 Balsam Dr.
Hudsonville, MI 49426-1428
Phone
(616) 662-1191
Fax
(616) 662-1510
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008574 MI Primary

Addresses

Primary practice location

5795 Balsam Dr.
Hudsonville, MI 49426-1428

Mailing address

5795 Balsam Dr.
Hudsonville, MI 49426-1428
Phone (616) 662-1191

Other identifiers 1

IdentifierTypeStateIssuer
144840026MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040915000379 MI Practitioner - Chiropractic 9931176542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5795 Balsam Dr
Hudsonville, MI 49426-1102
Phone (616) 662-1191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Life Family Chiropractic Centres, Inc Chiropractor CurrentSince Jun 1, 2004 Accepting new patients

Locations

3484 Chicago Dr
Hudsonville, MI 49426
Phone (616) 662-1191

5795 Balsam Dr
Hudsonville, MI 49426
Phone (616) 662-1191

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1336238377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5795 BALSAM DR.",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494261428",
            "telephone_number": "616-662-1191",
            "fax_number": "616-662-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5795 BALSAM DR.",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494261428",
            "telephone_number": "616-662-1191",
            "fax_number": "616-662-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINDLE",
        "first_name": "STEVEN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144840026",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudsonville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.