Organization Active NPI

Deweese Chiropractic Center P.C.

  • Chiropractor
  • Wyoming, MI
National Provider Identifier
1386728509
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301006542 Issued in MI
Legal business name
DEWEESE CHIROPRACTIC CENTER P.C.
Practice address
945 Burton St SW
Wyoming, MI 49509-1422
Phone
(616) 247-1000
Fax
(616) 247-0121
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephen Arthur Deweese, D.C.
Title
Owner/Doctor
Phone
(616) 247-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301006542 MI Primary

Addresses

Primary practice location

945 Burton St SW
Wyoming, MI 49509-1422

Mailing address

945 Burton St SW
Wyoming, MI 49509-1422
Phone (616) 247-1000

Other identifiers 1

IdentifierTypeStateIssuer
P67433OtherMIBLUE CARE NETWORK

National Provider Directory

National Provider Directory

Locations

945 Burton St SW
Wyoming, MI 49509
Phone (616) 247-1000

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386728509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 BURTON ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495091422",
            "telephone_number": "616-247-1000",
            "fax_number": "616-247-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 BURTON ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495091422",
            "telephone_number": "616-247-1000",
            "fax_number": "616-247-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEWEESE CHIROPRACTIC CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEWEESE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "616-247-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P67433",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.