Active NPI
Ottawa Chiropractic PLLC
- Chiropractor
- Holland, MI
National Provider Identifier
1366510240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- KS002756
- Legal business name
- OTTAWA CHIROPRACTIC PLLC
- Practice address
- 184 James St
Holland, MI 49424-2981 - Phone
- (616) 399-3563
- NPI assigned
- Dec 1, 2006
- Last updated
- Mar 25, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Julie Heerspink
- Title
- Chiropractic Assistant
- Phone
- (616) 399-3563
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | KS002756 | MI | Primary |
Addresses
Primary practice location
184 James St
Holland, MI 49424-2981
Mailing address
184 James St
Holland, MI 49424-2981
Phone (616) 399-3563
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4787920 | Medicaid | MI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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
- Jenison, MI
- NPI 1346241742
-
- Chiropractor
- Hudsonville, MI
- NPI 1669788576
-
- Chiropractor
- Boulder, MT
- NPI 1790833085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364169600000",
"number": "1366510240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 JAMES ST",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494242981",
"telephone_number": "616-399-3563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "184 JAMES ST",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494242981",
"telephone_number": "616-399-3563"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OTTAWA CHIROPRACTIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-01",
"last_updated": "2013-03-25",
"status": "A",
"authorized_official_last_name": "HEERSPINK",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "CHIROPRACTIC ASSISTANT",
"authorized_official_telephone_number": "616-399-3563",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "KS002756",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4787920",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.