Individual provider Active NPI

William Deane Lengkeek, D.C.

  • Chiropractor
  • Norton Shores, MI
National Provider Identifier
1679777403
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008930 Issued in MI
Practice address
3520 Green St
Norton Shores, MI 49444-3812
Phone
(231) 733-1100
Fax
(231) 733-1102
NPI assigned
Jun 14, 2007
Last updated
Sep 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008930 MI Primary

Addresses

Primary practice location

3520 Green St
Norton Shores, MI 49444-3812

Mailing address

3520 Green St
Norton Shores, MI 49444-3812
Phone (231) 733-1100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101122000879 MI Practitioner - Chiropractic 5698961290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3520 Green St
Norton Shores, MI 49444-3812
Phone (231) 733-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301008930MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Shoreline Chiropractic PLC Chiropractor CurrentSince Sep 1, 2010 Accepting new patients
Anchor Chiropractic & Wellness PLC Chiropractor CurrentSince Sep 1, 2019 Accepting new patients

Locations

525 W Norton Ave
Muskegon Heights, MI 49444
Phone (231) 733-1100

3520 Green St
Norton Shores, MI 49444
Phone (231) 733-1100

1851 44th St SW
Ste N
Wyoming, MI 49519
Phone (616) 259-9835

Organizations & group practices 2

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1679777403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 GREEN ST",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494443812",
            "telephone_number": "231-733-1100",
            "fax_number": "231-733-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 GREEN ST",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494443812",
            "telephone_number": "231-733-1100",
            "fax_number": "231-733-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENGKEEK",
        "first_name": "WILLIAM",
        "middle_name": "DEANE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.