Matthew S Dirkse, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009105 Issued in MI

Practice address

1203 S Beechtree St
Grand Haven, MI 49417-2839

Phone

(231) 215-0834

Fax

(616) 494-0212

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Healthzone Chiropractic 5 PC

  • Chiropractor
  • Grand Haven, MI
  • NPI 1326198417
  Medicare reassignment NPD

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447280730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 JAMESTOWN LN",
            "city": "FRUITPORT",
            "state": "MI",
            "postal_code": "494159705",
            "telephone_number": "231-215-0834",
            "fax_number": "616-494-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 S BEECHTREE ST",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172839",
            "telephone_number": "231-215-0834",
            "fax_number": "616-494-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRKSE",
        "first_name": "MATTHEW",
        "middle_name": "S",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Deyoung, CCC-SLP
• Jamie Lynn Dickinson, PA
• Jennifer Dickinson, PHARMD
• Candence A Diefendorf, RD
• Colleen Dills, LMSW
• Sidney Arden Disbrow, D.C.
• Mary Elizabeth Dody Warnock, LMSW
• Barbara Anita Doorlag, LLP
• Douglas T. Johnson & Associates, Inc.
• Terrance L. Draeger, O.D.

• Chiropractor in Grand Haven, MI
• Providers in Grand Haven, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.