Justin Vassar, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010060 Issued in MI

Practice address

330 Kalamazoo St
Unit 3
South Haven, MI 49090-1388

Phone

(269) 277-2257

NPI assigned

Jan 30, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Vassar Chiropractic and Rehabilitation PLC

  • Chiropractor
  • South Haven, MI
  • NPI 1982944070
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1356689012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 KALAMAZOO ST",
            "address_2": "UNIT 3",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490901388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 KALAMAZOO ST",
            "address_2": "UNIT 3",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490901388",
            "telephone_number": "269-277-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASSAR",
        "first_name": "JUSTIN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Upscale Home Care LLC
• Ramon E Urrea, M.D.
• Debra L Vandenboom, MAPCC LPC
• Izabel Vandermolen, DC
• Vassar Chiropractic and Rehabilitation PLC
• Verne E Ticknor DDS
• Lauren J Verstraete, DO
• James Vu, MD
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1540)
• Wal-Mart Stores East, LP (Vision Center 30-1540)

• Chiropractor in South Haven, MI
• Providers in South 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 30, 2013; 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.