Organization Active NPI

Ak Chiropractic Research Center PLLC

  • Chiropractor
  • Holland, MI
National Provider Identifier
1588938583
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
L2103517 Issued in MI
Legal business name
AK CHIROPRACTIC RESEARCH CENTER PLLC
Practice address
115 Clover St Ste 100
Holland, MI 49423-3266
Phone
(616) 392-2166
NPI assigned
Mar 8, 2012
Last updated
May 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2012

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

Authorized official

Name
Dr. Louis C Boven, DCNPI 1447376561
Title
Doctor of Chiropractic
Phone
(616) 392-2166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X L2103517 MI Primary

Addresses

Primary practice location

115 Clover St Ste 100
Holland, MI 49423-3266

Mailing address

115 Clover St Ste 100
Holland, MI 49423-3266
Phone (616) 392-2166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120510000131 MI Part B Supplier - Clinic/Group Practice 1951563881 Receives reassigned benefits from 1 practitioner
Practice locations: Holland, MI

National Provider Directory

National Provider Directory

Locations

115 Clover St
Ste 100
Holland, MI 49423
Phone (616) 392-2166

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1588938583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CLOVER ST STE 100",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233266",
            "telephone_number": "616-392-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CLOVER ST STE 100",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233266",
            "telephone_number": "616-392-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AK CHIROPRACTIC RESEARCH CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "BOVEN",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "616-392-2166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "L2103517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; 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.