Van Dyke Spinal Rehabilitation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301005397 Issued in MI

Legal business name

VAN DYKE SPINAL REHABILITATION

Practice address

22860 Van Dyke Ave
Warren, MI 48089-2347

Phone

(586) 754-4690

Fax

(586) 754-4680

NPI assigned

Jan 25, 2007

Last updated

Dec 3, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael S Meeron, DCNPI 1457406332

Title

Chiropractor (Owner)

Phone

(586) 754-4690

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Michael Steven Meeron, D.C.

  • Chiropractor
  • Oak Park, MI
  • NPI 1457406332
  NPD (past) Authorized official
• Anthony Eugene Pulice, D.C.

  • Chiropractor
  • Warren, MI
  • NPI 1013046499
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1528114592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381008",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480380075",
            "telephone_number": "586-754-4690",
            "fax_number": "586-754-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22860 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480892347",
            "telephone_number": "586-754-4690",
            "fax_number": "586-754-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN DYKE SPINAL REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "MEERON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIROPRACTOR (OWNER)",
        "authorized_official_telephone_number": "586-754-4690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "950E017740",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elke D Usrey, MA, LPC
• Andrea Kay Vacante, OTRL
• Hannah Van Allen, N.P
• David J Van Dam, CRNA
• Van Dyke Partners LLC (Windemere Park Health & Rehab Center)
• Van Dyke Spine Center
• Martha A. Vanbelle, MS, R.PH.
• Aubri Vanbrabant
• Adam Vance
• Lori Vance

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.