Organization Active NPI

Institute of Neuromuscular Medicine and Rehabilitation

  • Family Medicine Physician
  • Rockford, MI
National Provider Identifier
1588893267
Registry record updated Feb 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INSTITUTE OF NEUROMUSCULAR MEDICINE AND REHABILITATION
Practice address
65 S Main St
Suite C
Rockford, MI 49341-1286
Phone
(616) 866-8084
Fax
(616) 866-8085
NPI assigned
Jul 2, 2009
Last updated
Feb 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2010

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

Authorized official

Name
Dr. John S Dew, D.O.
Title
Physician/Owner
Phone
(616) 866-8084

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X
Family Medicine Physician 207Q00000X Primary
Physical Therapist 225100000X

Addresses

Primary practice location

65 S Main St
Suite C
Rockford, MI 49341-1286

Mailing address

65 S Main St
Suite C
Rockford, MI 49341-1286
Phone (616) 866-8084

Other identifiers 2

IdentifierTypeStateIssuer
1740244193MedicaidMI
08-5-41-0248-5OtherMIBCBS PIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265414400000",
    "number": "1588893267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 S MAIN ST",
            "address_2": "SUITE C",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411286",
            "telephone_number": "616-866-8084",
            "fax_number": "616-866-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 S MAIN ST",
            "address_2": "SUITE C",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411286",
            "telephone_number": "616-866-8084",
            "fax_number": "616-866-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE OF NEUROMUSCULAR MEDICINE AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2010-02-06",
        "status": "A",
        "authorized_official_last_name": "DEW",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "616-866-8084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740244193",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "08-5-41-0248-5",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.