Warner de Leeuw IV, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009355 Issued in MI

Legal business name

WARNER DE LEEUW IV, PC

Practice address

738 32ND St SE
Grand Rapids, MI 49548-2329

Phone

(616) 243-1444

Fax

(616) 243-2434

NPI assigned

Mar 6, 2008

Organization subpart

No

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

Authorized official

Name

Warner De Leeuw IV, DCNPI 1932385838

Title

Chiropractor/Owner

Phone

(616) 243-1444

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• American Chiropractic Center PC Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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

• Warner De Leeuw IV, DC

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1932385838
  Medicare reassignment NPD Authorized official
• Warner Deleeuw, DC

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1891791331
  NPD (past)

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1376713347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 32ND ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495482329",
            "telephone_number": "616-243-1444",
            "fax_number": "616-243-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 32ND ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495482329",
            "telephone_number": "616-243-1444",
            "fax_number": "616-243-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARNER DE LEEUW IV, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "DE LEEUW IV",
        "authorized_official_first_name": "WARNER",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "616-243-1444",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0P57110",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Chiropractic Center PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Savannah Ware, BSW
• Chesney Ryan Wargo, PT, DPT
• Christina Warholic, PSY.D.
• Bobbie Warmbein, MA, RD, CNSC
• Elizabeth Warnecke
• Jessica Warner
• Katherine Marie Warner, NP
• Megan E Warner, NP
• Remi Caroyln Warner, BT
• Ronald Lee Warner, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.