Organization Active NPI

Keystone Chiropractic PLC

  • Chiropractor
  • Grand Rapids, MI
National Provider Identifier
1700207727
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010007 Issued in MI
Legal business name
KEYSTONE CHIROPRACTIC PLC
Practice address
4829 E Beltline Ave NE
Suite 304
Grand Rapids, MI 49525-9747
Phone
(616) 447-4444
Fax
(616) 447-4040
NPI assigned
Dec 17, 2013
Last updated
Dec 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Authorized official

Name
Dr. Micah W Swalley, D.C.
Title
President
Phone
(616) 447-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301010007 MI Primary

Addresses

Primary practice location

4829 E Beltline Ave NE
Suite 304
Grand Rapids, MI 49525-9747

Mailing address

4829 E Beltline Ave NE
Suite 304
Grand Rapids, MI 49525-9747
Phone (616) 447-4444

National Provider Directory

National Provider Directory

Locations

4829 E Beltline Ave NE
Ste 304
Grand Rapids, MI 49525
Phone (616) 361-1200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1700207727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4829 E BELTLINE AVE NE",
            "address_2": "SUITE 304",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259747",
            "telephone_number": "616-447-4444",
            "fax_number": "616-447-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4829 E BELTLINE AVE NE",
            "address_2": "SUITE 304",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259747",
            "telephone_number": "616-447-4444",
            "fax_number": "616-447-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE CHIROPRACTIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-17",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "SWALLEY",
        "authorized_official_first_name": "MICAH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-447-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.