Active NPI
Chad Kenneth Vos
- Other Technician
- Grand Rapids, MI
National Provider Identifier
1497108443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- V20011192234
- Practice address
- 1112 Calvin Ave SE
Grand Rapids, MI 49506-3237 - Phone
- (630) 536-9987
- NPI assigned
- Jul 14, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | V20011192234 | IL | Primary |
Addresses
Primary practice location
1112 Calvin Ave SE
Grand Rapids, MI 49506-3237
Mailing address
1112 Calvin Ave SE
Grand Rapids, MI 49506-3237
Phone (630) 536-9987
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V20011192234 | IL | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468454400000",
"number": "1497108443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 CALVIN AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495063237",
"telephone_number": "630-536-9987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 CALVIN AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495063237",
"telephone_number": "630-536-9987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOS",
"first_name": "CHAD",
"middle_name": "KENNETH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-14",
"last_updated": "2016-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "IL",
"license": "V20011192234",
"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 Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.