Organization Active NPI

Craig J. Dykgraaf D.C., P.C.

  • Chiropractor
  • Grand Rapids, MI
National Provider Identifier
1598938003
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CD002275 Issued in MI
Legal business name
CRAIG J. DYKGRAAF D.C., P.C.
Doing business as
Plainfield Chiropractic Office
Practice address
1715 4 Mile Rd NE
Grand Rapids, MI 49525-2440
Phone
(616) 363-7771
Fax
(616) 363-5794
NPI assigned
Apr 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Dr. Craig James Dykgraaf I, D.C.
Title
Doctor/Owner
Phone
(616) 363-7771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CD002275 MI Primary

Addresses

Primary practice location

1715 4 Mile Rd NE
Grand Rapids, MI 49525-2440

Mailing address

1715 4 Mile Rd NE
Grand Rapids, MI 49525-2440
Phone (616) 363-7771

Other identifiers 3

IdentifierTypeStateIssuer
350046640OtherMIRR MEDICARE
950D150730OtherMIBCBS
CD002275OtherMIBCN

Other names 1

  • Plainfield Chiropractic Office Doing business as

National Provider Directory

National Provider Directory

Locations

1715 4 Mile Rd NE
Grand Rapids, MI 49525
Phone (616) 363-7771

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1598938003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 4 MILE RD NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495252440",
            "telephone_number": "616-363-7771",
            "fax_number": "616-363-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 4 MILE RD NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495252440",
            "telephone_number": "616-363-7771",
            "fax_number": "616-363-5794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG J. DYKGRAAF D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "DYKGRAAF",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "616-363-7771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "CD002275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "350046640",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950D150730",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "CD002275",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plainfield Chiropractic Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.