Ray Christian Van de Walker, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301008479 Issued in MI

Practice address

1112 E Centre Ave
Suite C
Portage, MI 49002-5575

Phone

(269) 978-3000

Fax

(269) 978-3001

NPI assigned

Apr 5, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477515443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 E CENTRE AVE",
            "address_2": "SUITE C",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490025575",
            "telephone_number": "269-978-3000",
            "fax_number": "269-978-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 E CENTRE AVE",
            "address_2": "SUITE C",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490025575",
            "telephone_number": "269-978-3000",
            "fax_number": "269-978-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DE WALKER",
        "first_name": "RAY",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "950C95062",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Usv Optical Inc.
• Uthrive Home Help
• Lauren Uttermohlen
• V&a Bootery Inc
• Yelba Yelitza Pineda Vallecillo, BCBA
• Anthony J Van Es, MD
• Lillian R Van Gelderen
• Nathan Douglas Van Hofwegen, D.D.S.
• Roger Allan Vander Beek, D.D.S.
• Dan J Vandermeulen, DDS MS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.