Sidney a. Disbrow, D.C., P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SIDNEY A. DISBROW, D.C., P.C.

Practice address

518 S Beacon Blvd
Grand Haven, MI 49417-1954

Phone

(616) 842-4241

Fax

(616) 842-6707

NPI assigned

Jan 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sidney Arden Disbrow, D.C.NPI 1184724825

Title

President

Phone

(616) 842-4241

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Sidney Arden Disbrow, D.C.

  • Chiropractor
  • Grand Haven, MI
  • NPI 1184724825
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1336326156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 S BEACON BLVD",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171954",
            "telephone_number": "616-842-4241",
            "fax_number": "616-842-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 S BEACON BLVD",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171954",
            "telephone_number": "616-842-4241",
            "fax_number": "616-842-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDNEY A. DISBROW, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "DISBROW",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "ARDEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-842-4241",
        "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": []
}

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• Chiropractor in Grand Haven, MI
• Providers in Grand Haven, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.