Individual provider Active NPI

Fernando Solis, D.C.

  • Chiropractor
  • Grand Rapids, MI
National Provider Identifier
1427524586
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010732 Issued in MI
Practice address
3097 29TH St SE
Grand Rapids, MI 49512-1726
Phone
(616) 974-9922
Fax
(877) 866-2053
NPI assigned
Oct 16, 2018
Last updated
Oct 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301010732 MI Primary

Addresses

Primary practice location

3097 29TH St SE
Grand Rapids, MI 49512-1726

Mailing address

3097 29TH St SE
Grand Rapids, MI 49512-1726
Phone (616) 974-9922

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181030002684 MI Practitioner - Chiropractic 7214280775 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nuevo Leon Developments PLLCGroup PAC ID 0446613053, 2 clinicians

Practice addresses (Care Compare)

3360 Prospect St
Hudsonville, MI 49426-1420
Phone (616) 669-6702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Golan Integrated Physical Medicine Chiropractor CurrentSince Jul 21, 2019 Accepting new patients
Nuevo Leon Developments PLLC Chiropractor CurrentSince Jul 31, 2023 Accepting new patients
McAlpine-Solis PLLC Chiropractor Current Accepting new patients
Golan Integrated Physical Medicine CurrentSince Nov 13, 2022 Accepting new patients

Locations

3097 29th St SE
Grand Rapids, MI 49512
Phone (616) 741-2232

3097 29th St SE
Ste B
Grand Rapids, MI 49512
Phone (616) 741-2232

3360 Prospect St
Hudsonville, MI 49426
Phone (616) 669-6702

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1427524586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3097 29TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495121726",
            "telephone_number": "616-974-9922",
            "fax_number": "877-866-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3097 29TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495121726",
            "telephone_number": "616-974-9922",
            "fax_number": "877-866-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIS",
        "first_name": "FERNANDO",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010732",
            "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 Oct 16, 2018; 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.