Organization Active NPI

Connect Chiropractic LLC

  • Chiropractor
  • Allendale, MI
National Provider Identifier
1487145801
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
230101652 Issued in MI
Legal business name
CONNECT CHIROPRACTIC LLC
Practice address
6177 Lake Michigan Dr
Allendale, MI 49401-9244
Phone
(616) 379-3932
Fax
(616) 379-9329
NPI assigned
May 21, 2018
Last updated
May 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Blair Ann-Breslin Wolfert, DCNPI 1326543075
Title
Chiropractor
Phone
(616) 379-9329

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X 230101652 MI Primary

Addresses

Primary practice location

6177 Lake Michigan Dr
Allendale, MI 49401-9244

Mailing address

6177 Lake Michigan Dr
Allendale, MI 49401-9244
Phone (616) 379-3932

Other identifiers 1

IdentifierTypeStateIssuer
1326543075MedicaidMI

Other names 1

  • Connect Chiropractic LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180622000820 MI Part B Supplier - Clinic/Group Practice 0042565616 Receives reassigned benefits from 1 practitioner
Practice locations: Allendale, MI

National Provider Directory

National Provider Directory

Locations

6177 Lake Michigan Dr
Allendale, MI 49401
Phone (616) 379-3932

3770 Chicago Dr
Hudsonville, MI 49426
Phone (616) 379-9329

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1487145801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6177 LAKE MICHIGAN DR",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494019244",
            "telephone_number": "616-379-3932",
            "fax_number": "616-379-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6177 LAKE MICHIGAN DR",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494019244",
            "telephone_number": "616-379-3932",
            "fax_number": "616-379-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "WOLFERT",
        "authorized_official_first_name": "BLAIR",
        "authorized_official_middle_name": "ANN-BRESLIN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "616-379-9329",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "230101652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326543075",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connect Chiropractic LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Allendale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.