Organization Active NPI

Total Health Chiropractic of West Michigan PLLC

  • Chiropractor
  • Kentwood, MI
National Provider Identifier
1639409337
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008699 Issued in MI
Legal business name
TOTAL HEALTH CHIROPRACTIC OF WEST MICHIGAN PLLC
Practice address
4462 Breton Rd SE
Kentwood, MI 49508-5272
Phone
(616) 827-2225
Fax
(616) 827-2820
NPI assigned
Jan 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Authorized official

Name
Christopher A Miller, D.C.
Title
Owner
Phone
(616) 827-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301008699 MI Primary

Addresses

Primary practice location

4462 Breton Rd SE
Kentwood, MI 49508-5272

Mailing address

4462 Breton Rd SE
Kentwood, MI 49508-5272

National Provider Directory

National Provider Directory

Locations

2172 East Paris Ave SE
Grand Rapids, MI 49546
Phone (616) 684-4025

4462 Breton Rd SE
Kentwood, MI 49508
Phone (616) 827-2225

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1639409337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4462 BRETON RD SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495085272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4462 BRETON RD SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495085272",
            "telephone_number": "616-827-2225",
            "fax_number": "616-827-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH CHIROPRACTIC OF WEST MICHIGAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-827-2225",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentwood, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.