Organization Active NPI

Knapp Family Chiropractic, PLLC

  • Chiropractor
  • Grand Rapids, MI
National Provider Identifier
1417440819
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010599 Issued in MI
Legal business name
KNAPP FAMILY CHIROPRACTIC, PLLC
Practice address
6807 Cascade Rd SE Ste D
Grand Rapids, MI 49546-8722
Phone
(616) 551-0680
NPI assigned
Jun 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Authorized official

Name
Dr. Connor Wade Knapp, DC
Title
Owner
Phone
(616) 551-0680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301010599 MI Primary

Addresses

Primary practice location

6807 Cascade Rd SE Ste D
Grand Rapids, MI 49546-8722

Mailing address

6807 Cascade Rd SE Ste D
Grand Rapids, MI 49546-8722
Phone (616) 551-0680

Other names 1

  • Knapp Family Chiropractic, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

6807 Cascade Rd SE
Ste D
Grand Rapids, MI 49546
Phone (616) 975-1100

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528675200000",
    "number": "1417440819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6807 CASCADE RD SE STE D",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468722",
            "telephone_number": "616-551-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6807 CASCADE RD SE STE D",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468722",
            "telephone_number": "616-551-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNAPP FAMILY CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "status": "A",
        "authorized_official_last_name": "KNAPP",
        "authorized_official_first_name": "CONNOR",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-551-0680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knapp Family Chiropractic, PLLC",
            "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 Jun 11, 2018; 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.