Active NPI
Craig J. Dykgraaf D.C., P.C.
- Chiropractor
- Grand Rapids, MI
National Provider Identifier
1598938003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CD002275
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350046640 | Other | MI | RR MEDICARE |
| 950D150730 | Other | MI | BCBS |
| CD002275 | Other | MI | BCN |
Other names 1
- Plainfield Chiropractic Office
National Provider Directory
National Provider DirectoryLocations
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.