Organization Active NPI

Healthy Family Chiropractic Inc

  • Chiropractor
  • Kalamazoo, MI
National Provider Identifier
1629103528
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007884 Issued in MI
Legal business name
HEALTHY FAMILY CHIROPRACTIC INC
Practice address
4415 Duke St
Suite #2 East
Kalamazoo, MI 49008-3224
Phone
(269) 567-4111
Fax
(269) 567-4113
NPI assigned
Feb 22, 2007
Last updated
Dec 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Authorized official

Name
Dr. Jonathan Howard Vahue-Rubin, D.C.
Title
President
Phone
(269) 567-4111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301007884 MI Primary

Addresses

Primary practice location

4415 Duke St
Suite #2 East
Kalamazoo, MI 49008-3224

Mailing address

4415 Duke St
Suite #2 East
Kalamazoo, MI 49008-3224
Phone (269) 567-4111

Other identifiers 5

IdentifierTypeStateIssuer
1629103528OtherMIDR.'S GROUP NPI
P2900001OtherMIMEDICARE PTAN
1114052115OtherMIDR.'S INDIVIDUAL NPI
950C91206OtherBLUE CROSS BLUE SHIELD PIN NUMBER
0P02900OtherMIMEDICARE GROUP NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041116000026 MI Part B Supplier - Clinic/Group Practice 5799749149 Receives reassigned benefits from 1 practitioner
Practice locations: Kalamazoo, MI

National Provider Directory

National Provider Directory

Locations

1850 Whites Rd
Ste 5
Kalamazoo, MI 49008
Phone (269) 808-0618

3234 S Westnedge Ave
Kalamazoo, MI 49008
Phone (269) 567-4111

4415 Duke St
Ste 2E
Kalamazoo, MI 49008
Phone (269) 567-4111

Practitioners & affiliated clinicians

Practitioners 2

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1629103528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 DUKE ST",
            "address_2": "SUITE #2 EAST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490083224",
            "telephone_number": "269-567-4111",
            "fax_number": "269-567-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 DUKE ST",
            "address_2": "SUITE #2 EAST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490083224",
            "telephone_number": "269-567-4111",
            "fax_number": "269-567-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY FAMILY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "VAHUE-RUBIN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-567-4111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR.'S GROUP NPI",
            "identifier": "1629103528",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "P2900001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR.'S INDIVIDUAL NPI",
            "identifier": "1114052115",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PIN NUMBER",
            "identifier": "950C91206",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "0P02900",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.