Active NPI
Thrive Chiropractic Center PLC
- Chiropractor
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301009423
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Taven Tijerina
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Grandville, MI
- NPI 1093184731
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.