Organization Active NPI

Thrive Chiropractic Center PLC

  • Chiropractor
  • Grand Rapids, MI
National Provider Identifier
1467755686
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009423 Issued in MI
Legal business name
THRIVE CHIROPRACTIC CENTER PLC
Practice address
2422 Burton St SE Ste F
Grand Rapids, MI 49546-4809
Phone
(616) 554-5070
NPI assigned
Dec 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Rebecca Taven TijerinaNPI 1093184731
Title
Owner
Phone
(231) 920-4264

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301009423 MI Primary

Addresses

Primary practice location

2422 Burton St SE Ste F
Grand Rapids, MI 49546-4809

Mailing address

2422 Burton St SE Ste F
Grand Rapids, MI 49546-4809
Phone (616) 554-5070

Other practice location 1

7199 Kalamazoo Ave SE
Suite 234
Caledonia, MI 49316-7341
Phone (517) 604-4699

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120120000534 MI Part B Supplier - Clinic/Group Practice 2365619061 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Rapids, MI

National Provider Directory

National Provider Directory

Locations

7199 Kalamazoo Ave SE
Caledonia, MI 49316
Phone (616) 554-5070

2422 Burton St SE
Ste F
Grand Rapids, MI 49546
Phone (616) 554-5070

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": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1467755686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2422 BURTON ST SE STE F",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495464809",
            "telephone_number": "616-554-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 BURTON ST SE STE F",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495464809",
            "telephone_number": "616-554-5070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7199 Kalamazoo Ave SE",
            "address_2": "Suite 234",
            "address_purpose": "LOCATION",
            "city": "Caledonia",
            "state": "MI",
            "postal_code": "493167341",
            "country_code": "US",
            "telephone_number": "517-604-4699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THRIVE CHIROPRACTIC CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "TIJERINA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "TAVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-920-4264"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.