Organization Active NPI

Semlow Peak Performance Chiropractic

  • Chiropractor
  • Grand Haven, MI
National Provider Identifier
1700027034
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SEMLOW PEAK PERFORMANCE CHIROPRACTIC
Practice address
302 S Beechtree St Ste a
Grand Haven, MI 49417-2072
Phone
(616) 846-5000
Fax
(616) 846-5002
NPI assigned
Mar 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Authorized official

Name
Mr. Kirk Justin Semlow, D.C.NPI 1265671606
Title
Doctor of Chiropractic
Phone
(616) 846-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

302 S Beechtree St Ste a
Grand Haven, MI 49417-2072

Mailing address

302 S Beechtree St Ste a
Grand Haven, MI 49417-2072
Phone (616) 846-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090326000221 MI Part B Supplier - Clinic/Group Practice 6406913003 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Haven, MI

National Provider Directory

National Provider Directory

Locations

326 N Ferry St
Ste A
Grand Haven, MI 49417
Phone (231) 335-9102

302 S Beechtree St
Ste A
Grand Haven, MI 49417
Phone (616) 846-5000

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": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1700027034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S BEECHTREE ST STE A",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172072",
            "telephone_number": "616-846-5000",
            "fax_number": "616-846-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S BEECHTREE ST STE A",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172072",
            "telephone_number": "616-846-5000",
            "fax_number": "616-846-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMLOW PEAK PERFORMANCE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "SEMLOW",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "JUSTIN",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "616-846-5000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.