Individual provider Active NPI

Luke David Haagsma, DC

  • Chiropractor
  • Caledonia, MI
National Provider Identifier
1407413768
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301401590 Issued in MI
Practice address
7101 Broadmoor Ave SE
Caledonia, MI 49316-7329
Phone
(616) 698-0046
Fax
(616) 698-2188
NPI assigned
May 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301401590 MI Primary
Personal Care Attendant 3747P1801X

Addresses

Primary practice location

7101 Broadmoor Ave SE
Caledonia, MI 49316-7329

Mailing address

7101 Broadmoor Ave SE
Caledonia, MI 49316-7329
Phone (616) 698-0046

Other practice location 1

1500 E Beltline Ave SE
Grand Rapids, MI 49506-4361
Phone (616) 581-2667

Other practice location 2

1500 E Beltline Ave SE
Grand Rapids, MI 49506-4361
Phone (616) 581-2667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250128000328 MI Practitioner - Chiropractic 2668901224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burkhart Chiropractic PLCGroup PAC ID 9032161278, 3 clinicians

Practice addresses (Care Compare)

7101 Broadmoor Ave SE
Caledonia, MI 49316-7329
Phone (616) 698-0046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301401590MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Burkhart Chiropractic PLC Chiropractor CurrentSince Jan 14, 2025 Accepting new patients
Van Ryn Therapies CurrentSince Jan 14, 2025 Accepting new patients

Locations

7101 Broadmoor Ave SE
Caledonia, MI 49316
Phone (616) 330-0891

7101 Broadmoor Ave SE
Ste A
Caledonia, MI 49316

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1407413768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 BROADMOOR AVE SE",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493167329",
            "telephone_number": "616-698-0046",
            "fax_number": "616-698-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 BROADMOOR AVE SE",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493167329",
            "telephone_number": "616-698-0046",
            "fax_number": "616-698-2188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E Beltline Ave SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495064361",
            "country_code": "US",
            "telephone_number": "616-581-2667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 E Beltline Ave SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495064361",
            "country_code": "US",
            "telephone_number": "616-581-2667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAAGSMA",
        "first_name": "LUKE",
        "middle_name": "DAVID",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-22",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401590",
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caledonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.