Organization Active NPI

David D Brelinski III, PLLC

  • Chiropractor
  • Grand Rapids, MI
National Provider Identifier
1376901389
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010385 Issued in MI
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

Updated by the provider on Feb 4, 2016

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.