David John Estefan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007774 Issued in MI

Practice address

1838 Baldwin St.
Jenison, MI 49428

Phone

(616) 301-1702

Fax

(616) 301-1708

NPI assigned

May 23, 2006

Last updated

Jan 16, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeshore Chiropractic, Inc.Group PAC ID 3971634809, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakeshore Chiropractic, Inc.

  • Chiropractor
  • Jenison, MI
  • NPI 1770800443
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1477508174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6044 SUNNINGDALE DR",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494268962",
            "telephone_number": "616-301-1702",
            "fax_number": "616-301-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 BALDWIN ST.",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "49428",
            "telephone_number": "616-301-1702",
            "fax_number": "616-301-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTEFAN",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "950G0620",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Morgan Dunham, LPC
• Eric J. Dykstra, PSY.D
• Brooke Nicole Emelander
• Eric R Hartman, DC, PLLC
• Patricia G Espinoza, LLP
• Kristen Faber, LMSW
• Family Fare, LLC (Family Fare Pharmacy 1589)
• Katie Farnquist, MA COUNSELING, LPC
• Grace Feliz, LLMSW
• Kaley Elizabeth Filiccia

• Chiropractor in Jenison, MI
• Providers in Jenison, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.