Lakeshore Family Chiropractic, PLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

2301009161 Issued in MI

Legal business name

LAKESHORE FAMILY CHIROPRACTIC, PLC

Practice address

244 James St
Ste. B
Holland, MI 49424-2980

Phone

(616) 396-6635

Fax

(616) 396-6679

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Blake Rushford Spooner, D.C.NPI 1245263128

Title

Owner/Operator

Phone

(616) 396-6635

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Blake Rushford Spooner, D.C.

  • Chiropractor
  • Holland, MI
  • NPI 1245263128
  Medicare reassignment Care Compare group NPD Authorized official
• Kyle Jon Blauwkamp, D.C.

  • Chiropractor
  • Holland, MI
  • NPI 1225397615
  Medicare reassignment Care Compare group NPD
• Tyler Gene Gunderson, DC

  • Chiropractor
  • Holland, MI
  • NPI 1902567514
  Medicare reassignment Care Compare group NPD
• Jacqueline Laura Prins, D.C.

  • Chiropractor
  • Hudsonville, MI
  • NPI 1811440167
  Medicare reassignment NPD
• Ronald Rabineau III, D.C.

  • Chiropractor
  • Grandville, MI
  • NPI 1396131413
  Medicare reassignment NPD
• Cort J Musolf, CHIROPRACTOR

  • Chiropractor
  • Longmont, CO
  • NPI 1215683099

  MI

  Medicare reassignment NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508978933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 JAMES ST",
            "address_2": "STE. B",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242980",
            "telephone_number": "616-396-6635",
            "fax_number": "616-396-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 JAMES ST",
            "address_2": "STE. B",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242980",
            "telephone_number": "616-396-6635",
            "fax_number": "616-396-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE FAMILY CHIROPRACTIC, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPOONER",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "RUSHFORD",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "616-396-6635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "2301009161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Michigan Wellness PLLC
• Lakehsore Otolaryngology
• Lakeshore Allergy PC
• Lakeshore Area Radiation Oncology Center
• Lakeshore Eyecare Center PC
• Lakeshore Health Partners
• Lakeshore Internal Medicine and Pediatric Associates
• Lakeshore Plastic and Reconstructive Surgery Associates, P.C. (Plastic Surgery Arts of West Michigan)
• Lakeshore Psychological & Counseling Services, PC
• Lakeshore Senior Care LLC (Lakeshore Senior Care)

• Clinic/Center in Holland, MI
• Providers in Holland, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.