Individual provider Active NPI

Daniel Willaim Hungerford, D.C.

  • Chiropractor
  • Wayland, MI
National Provider Identifier
1598067589
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009688 Issued in MI
Practice address
135 E Superior St
Wayland, MI 49348-1137
Phone
(269) 792-9952
Fax
(269) 792-6459
NPI assigned
Nov 23, 2010
Last updated
Jan 4, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009688 MI Primary

Addresses

Primary practice location

135 E Superior St
Wayland, MI 49348-1137

Mailing address

4172 Lake Michigan Dr NW
Grand Rapids, MI 49534-4527
Phone (269) 792-9952

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110118000533 MI Practitioner - Chiropractic 9032308341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4172 Lake Michigan Dr NW
Platinum Chiropractic
Grand Rapids, MI 49534-4527
Phone (616) 419-4996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hungerford Chiropractic & Wellness Center PC Chiropractor CurrentSince Nov 1, 2012 Accepting new patients
Oa Health Inc CurrentSince Aug 13, 2020 Accepting new patients
Full Potential Chiropractic, PC Chiropractor PastSince Mar 5, 2012 Accepting new patients

Locations

4172 Lake Michigan Dr NW
Grand Rapids, MI 49534
Phone (616) 419-4996

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1598067589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4172 LAKE MICHIGAN DR NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495344527",
            "telephone_number": "269-792-9952",
            "fax_number": "269-792-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E SUPERIOR ST",
            "city": "WAYLAND",
            "state": "MI",
            "postal_code": "493481137",
            "telephone_number": "269-792-9952",
            "fax_number": "269-792-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNGERFORD",
        "first_name": "DANIEL",
        "middle_name": "WILLAIM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-23",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.