Active NPI
David A Wilkes, DC
- Chiropractor
- Hudsonville, MI
National Provider Identifier
1356492763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301009000
- Practice address
- 3484 Chicago Dr
Hudsonville, MI 49426-1428 - Phone
- (616) 662-3933
- NPI assigned
- Jan 13, 2007
- Last updated
- Jan 26, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301009000 | MI | Primary |
Addresses
Primary practice location
3484 Chicago Dr
Hudsonville, MI 49426-1428
Mailing address
3484 Chicago Dr
Hudsonville, MI 49426-1428
Phone (616) 662-3933
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0D10057 | Other | MI | BCBSM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301009000 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holly York LLC | Chiropractor | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296000000000",
"number": "1356492763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3484 CHICAGO DR",
"city": "HUDSONVILLE",
"state": "MI",
"postal_code": "494261428",
"telephone_number": "616-662-3933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3484 CHICAGO DR",
"city": "HUDSONVILLE",
"state": "MI",
"postal_code": "494261428",
"telephone_number": "616-662-3933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKES",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-13",
"last_updated": "2011-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301009000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "0D10057",
"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 Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.