Active NPI
David D Brelinski III, PLLC
- Chiropractor
- Grand Rapids, MI
National Provider Identifier
1376901389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301010385
- Legal business name
- DAVID D BRELINSKI III, PLLC
- Doing business as
- Grand Rapids Spine & Sport
- Practice address
- 130 Market Ave SW
Grand Rapids, MI 49503-4041 - Phone
- (248) 895-6891
- NPI assigned
- Feb 4, 2016
- 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
- Dr. David Dale Brelinski III, D.C.
- Title
- President
- Phone
- (248) 895-6891
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301010385 | MI | Primary |
Addresses
Primary practice location
130 Market Ave SW
Grand Rapids, MI 49503-4041
Mailing address
6079 E W Ave
Vicksburg, MI 49097-9557
Phone (248) 895-6891
Other names 1
- Grand Rapids Spine & Sport
National Provider Directory
National Provider DirectoryLocations
130 Market Ave SW
Grand Rapids, MI 49503
Phone (248) 895-6891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454544000000",
"number": "1376901389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6079 E W AVE",
"city": "VICKSBURG",
"state": "MI",
"postal_code": "490979557",
"telephone_number": "248-895-6891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 MARKET AVE SW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034041",
"telephone_number": "248-895-6891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID D BRELINSKI III, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-04",
"last_updated": "2016-02-04",
"status": "A",
"authorized_official_last_name": "BRELINSKI",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "DALE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-895-6891",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MI",
"license": "2301010385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Grand Rapids Spine & Sport",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.