Active NPI
Greater Life Family Chiropractic LLC
- Clinic/Center
- Newaygo, MI
National Provider Identifier
1336977248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- GREATER LIFE FAMILY CHIROPRACTIC LLC
- Practice address
- 135 W State Rd
Newaygo, MI 49337-8172 - Phone
- (231) 335-1199
- NPI assigned
- Jul 23, 2024
- Last updated
- Oct 3, 2024
- Organization subpart
- Yes
- Parent organization
- GREATER LIFE FAMILY CHIROPRACTIC LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacqueline Prins, DC
- Title
- Chiropractor
- Phone
- (408) 679-4238
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary |
Addresses
Primary practice location
135 W State Rd
Newaygo, MI 49337-8172
Mailing address
653 E 128TH St
Grant, MI 49327-9652
Phone (408) 679-4238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Greater Life Family Chiropractic LLC
Locations
135 W State Rd
Newaygo, MI 49337
Phone (231) 335-1199
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Hudsonville, MI
- NPI 1811440167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727913600000",
"number": "1336977248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "653 E 128TH ST",
"city": "GRANT",
"state": "MI",
"postal_code": "493279652",
"telephone_number": "408-679-4238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 W STATE RD",
"city": "NEWAYGO",
"state": "MI",
"postal_code": "493378172",
"telephone_number": "231-335-1199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATER LIFE FAMILY CHIROPRACTIC LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GREATER LIFE FAMILY CHIROPRACTIC LLC",
"enumeration_date": "2024-07-23",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A",
"authorized_official_last_name": "PRINS",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "408-679-4238",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newaygo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.