Organization Active NPI

Wessel Family Chiropractic PLLC

  • Chiropractor
  • Norton Shores, MI
National Provider Identifier
1457920688
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WESSEL FAMILY CHIROPRACTIC PLLC
Practice address
1064 E Sternberg Rd
Norton Shores, MI 49444-8796
Phone
(231) 440-9338
Fax
(231) 220-9388
NPI assigned
Jun 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Authorized official

Name
Melissa Thomas, DC
Title
Owner
Phone
(704) 651-9309

Specialties & licenses 1

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

Addresses

Primary practice location

1064 E Sternberg Rd
Norton Shores, MI 49444-8796

Mailing address

428 Clinton Ave
Grand Haven, MI 49417-1426
Phone (704) 651-9309

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240717003847 MI Part B Supplier - Clinic/Group Practice 3375088040 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Haven, MI

National Provider Directory

National Provider Directory

Locations

1064 E Sternberg Rd
Norton Shores, MI 49444
Phone (231) 440-9338

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1457920688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 CLINTON AVE",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171426",
            "telephone_number": "704-651-9309",
            "fax_number": "231-220-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 E STERNBERG RD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494448796",
            "telephone_number": "231-440-9338",
            "fax_number": "231-220-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESSEL FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-651-9309",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.