Individual provider Active NPI

Timothy Alan Taig, D.C.

  • Chiropractor
  • Grand Rapids, MI
National Provider Identifier
1407894405
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008724 Issued in MI
Practice address
5510 Cascade Rd SE
Ste 280
Grand Rapids, MI 49546-6496
Phone
(616) 949-9282
Fax
(616) 949-2374
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008724 MI Primary

Addresses

Primary practice location

5510 Cascade Rd SE
Ste 280
Grand Rapids, MI 49546-6496

Mailing address

5510 Cascade Rd SE
Ste 280
Grand Rapids, MI 49546-6496
Phone (616) 949-9282

Other identifiers 3

IdentifierTypeStateIssuer
11N00000XOtherMITAXONOMY
2301008724OtherMIMI CHIROPRACTIC LICENSE
11567401OtherMICAQH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040505001437 MI Practitioner - Chiropractic 7315932639

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3878 Cascade Rd
Suite 280
Grand Rapids, MI 49546-9807

5510 Cascade Rd
Suite 280
Grand Rapids, MI 49546-9807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301008724MIMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1407894405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 CASCADE RD SE",
            "address_2": "STE 280",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466496",
            "telephone_number": "616-949-9282",
            "fax_number": "616-949-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 CASCADE RD SE",
            "address_2": "STE 280",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466496",
            "telephone_number": "616-949-9282",
            "fax_number": "616-949-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAIG",
        "first_name": "TIMOTHY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "11N00000X",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI CHIROPRACTIC LICENSE",
            "identifier": "2301008724",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11567401",
            "state": "MI"
        }
    ],
    "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 Jul 13, 2026; 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.