Individual provider Active NPI

Gregory Todd Lynas, D.C

  • Chiropractor
  • Holland, MI
National Provider Identifier
1689792889
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008702 Issued in MI
Practice address
451 Columbia Ave
Suite E2
Holland, MI 49423-2228
Phone
(616) 399-0110
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008702 MI Primary

Addresses

Primary practice location

451 Columbia Ave
Suite E2
Holland, MI 49423-2228

Mailing address

451 Columbia Ave
Suite E2
Holland, MI 49423-2228
Phone (616) 399-0110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356480000000",
    "number": "1689792889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 COLUMBIA AVE",
            "address_2": "SUITE E2",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494232228",
            "telephone_number": "616-399-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 COLUMBIA AVE",
            "address_2": "SUITE E2",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494232228",
            "telephone_number": "616-399-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNAS",
        "first_name": "GREGORY",
        "middle_name": "TODD",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2012-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.