Individual provider Active NPI

Sy Louis Teravest, DC

  • Chiropractor
  • Hopkins, MI
National Provider Identifier
1447024005
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301401462 Issued in MI
Practice address
130 W Main St
Hopkins, MI 49328-5128
Phone
(269) 682-5060
Fax
(269) 682-5061
NPI assigned
Nov 14, 2023
Last updated
Nov 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301401462 MI Primary

Addresses

Primary practice location

130 W Main St
Hopkins, MI 49328-5128

Mailing address

2460 118TH Ave
Allegan, MI 49010-9552
Phone (269) 680-1082

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231215001166 MI Practitioner - Chiropractic 3274982228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Unlimited PLLCGroup PAC ID 6204840507, 6 clinicians

Practice addresses (Care Compare)

5131 E Paris Ave SE
Grand Rapids, MI 49512-5468
Phone (616) 940-4647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301401462MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Unlimited, PLLC Chiropractor CurrentSince Jan 2, 2024 Accepting new patients
Christopher Hodge DC, PLC Chiropractor CurrentSince Nov 19, 2023 Accepting new patients

Locations

130 W Main St
Hopkins, MI 49328
Phone (269) 682-5060

5131 East Paris Ave SE
Kentwood, MI 49512
Phone (616) 554-1299

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, 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": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1447024005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 118TH AVE",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490109552",
            "telephone_number": "269-680-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W MAIN ST",
            "city": "HOPKINS",
            "state": "MI",
            "postal_code": "493285128",
            "telephone_number": "269-682-5060",
            "fax_number": "269-682-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERAVEST",
        "first_name": "SY",
        "middle_name": "LOUIS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkins, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.