Organization Active NPI

Spectrum Transportion of Grand Rapids

  • Driver
  • Ada, MI
National Provider Identifier
1467099267
Registry record updated Nov 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
Legal business name
SPECTRUM TRANSPORTION OF GRAND RAPIDS
Practice address
7700 Fox Haven CT SE
Ada, MI 49301-8637
Phone
(616) 437-2572
NPI assigned
Nov 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2019

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

Authorized official

Name
Mr. Edward L Bates
Title
Owner
Phone
(616) 437-2572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DriverGroup: 193400000X SINGLE SPECIALTY GROUP 172A00000X Primary

Addresses

Primary practice location

7700 Fox Haven CT SE
Ada, MI 49301-8637

Mailing address

7700 Fox Haven CT SE
Ada, MI 49301-8637

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1575072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575072000000",
    "number": "1467099267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 FOX HAVEN CT SE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493018637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 FOX HAVEN CT SE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493018637",
            "telephone_number": "616-437-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM TRANSPORTION OF GRAND RAPIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-30",
        "last_updated": "2019-11-30",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-437-2572",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.