Active NPI
Leonard Harry Nienhuis, DC
- Chiropractor
- Jenison, MI
National Provider Identifier
1437133865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- LN003038
- Practice address
- 7579 Main St
Jenison, MI 49428-9251 - Phone
- (616) 457-4511
- Fax
- (616) 667-1936
- NPI assigned
- Nov 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | LN003038 | MI | Primary |
Addresses
Primary practice location
7579 Main St
Jenison, MI 49428-9251
Mailing address
7579 Main St
Jenison, MI 49428-9251
Phone (616) 457-4511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950G05036 | Other | MI | BLUE CROSS/BLUE SHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LN003038 | MI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1437133865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7579 MAIN ST",
"city": "JENISON",
"state": "MI",
"postal_code": "494289251",
"telephone_number": "616-457-4511",
"fax_number": "616-667-1936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7579 MAIN ST",
"city": "JENISON",
"state": "MI",
"postal_code": "494289251",
"telephone_number": "616-457-4511",
"fax_number": "616-667-1936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIENHUIS",
"first_name": "LEONARD",
"middle_name": "HARRY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "LN003038",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "950G05036",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jenison, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.