Individual provider Active NPI

Gregory Todd Lawton, DC

  • Chiropractor
  • Grand Rapids, MI
National Provider Identifier
1396519013
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005941 Issued in MI
Practice address
6810 Old 28TH St SE Ste 3
Grand Rapids, MI 49546-6932
Phone
(616) 570-0790
NPI assigned
Nov 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301005941 MI Primary

Addresses

Primary practice location

6810 Old 28TH St SE Ste 3
Grand Rapids, MI 49546-6932

Mailing address

2040 Raybrook St SE Ste 104
Grand Rapids, MI 49546-7718
Phone (616) 285-9999

Other practice location 1

2040 Raybrook St SE Ste 104
Grand Rapids, MI 49546-7718
Phone (616) 285-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2301005941MIMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1396519013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 RAYBROOK ST SE STE 104",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467718",
            "telephone_number": "616-285-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 OLD 28TH ST SE STE 3",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466932",
            "telephone_number": "616-570-0790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2040 Raybrook St SE Ste 104",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495467718",
            "country_code": "US",
            "telephone_number": "616-285-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWTON",
        "first_name": "GREGORY",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 13, 2023; 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.