Nathan Vanderloo, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010210 Issued in MI

Practice address

4462 Breton Rd SE
Kentwood, MI 49508-5272

Phone

(616) 827-2225

Fax

(616) 827-2820

NPI assigned

May 13, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mt Pleasant Chiropractic PLLC

  • Chiropractor
  • Mt Pleasant, MI
  • NPI 1376156810
  Medicare reassignment

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1679984504",
    "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",
            "telephone_number": "616-827-2225",
            "fax_number": "616-827-2820"
        },
        {
            "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": {
        "last_name": "VANDERLOO",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaqueline Regina Vandenberg, BEHAVIOR TECHNICIAN
• Julia Lynn Vandenbosch, LMSW
• Marie Vander Linde, MD
• Megan Vanderhoof, OTRL
• Grant Michael Vanderklipp
• Jason Vanderploeg, OD
• David Alan Vanderwal, MA/LPC
• Jesse Wade Vandommelen
• Juliette Mae Vanhorn
• Brittney Nicole Vankoevering

• Chiropractor in Kentwood, MI
• Providers in Kentwood, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.