NPIMap

Organization Active NPI

West Michigan Chiropractic Clinic PLLC

  • Chiropractor
  • Jenison, MI
National Provider Identifier
1487846689
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301002431 Issued in MI
Legal business name
WEST MICHIGAN CHIROPRACTIC CLINIC PLLC
Practice address
7484 Main St
Jenison, MI 49428-9304
Phone
(616) 662-4990
NPI assigned
Aug 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Authorized official

Name
Donald A Steketee, DC
Title
Owner
Phone
(616) 457-3532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301002431 MI Primary

Addresses

Primary practice location

7484 Main St
Jenison, MI 49428-9304

Mailing address

7484 Main St
Jenison, MI 49428-9304
Phone (616) 662-4990

Other practice location 1

3723 Baldwin St.
Hudsonville, MI 49426
Phone (616) 662-4990

Other identifiers 2

IdentifierTypeStateIssuer
950G01043OtherBCBSM
1039707MedicaidMI

National Provider Directory

National Provider Directory

Locations

3723 Baldwin St
Hudsonville, MI 49426
Phone (616) 662-4990

7484 Main St
Jenison, MI 49428
Phone (616) 662-4990

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": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1487846689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7484 MAIN ST",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494289304",
            "telephone_number": "616-662-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7484 MAIN ST",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494289304",
            "telephone_number": "616-662-4990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3723 Baldwin St.",
            "address_purpose": "LOCATION",
            "city": "Hudsonville",
            "state": "MI",
            "postal_code": "49426",
            "country_code": "US",
            "telephone_number": "616-662-4990",
            "fax_number": "616-662-0249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEST MICHIGAN CHIROPRACTIC CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "STEKETEE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-457-3532",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301002431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "950G01043",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1039707",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenison, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.