Individual provider Active NPI

William Cory Wellman, DC

  • Chiropractor
  • Grand Rapids, MI
National Provider Identifier
1700478757
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010971 Issued in MI
Practice address
6651 Crossings Dr SE Ste B
Grand Rapids, MI 49508-7894
Phone
(616) 888-8161
Fax
(616) 920-6555
NPI assigned
Feb 10, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010971 MI Primary

Addresses

Primary practice location

6651 Crossings Dr SE Ste B
Grand Rapids, MI 49508-7894

Mailing address

6651 Crossings Dr SE Ste B
Grand Rapids, MI 49508-7894
Phone (616) 888-8161

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210414000557 MI Practitioner - Chiropractic 3375951288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6651 Crossings Dr SE
Suite B
Grand Rapids, MI 49508-7894
Phone (616) 888-8161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Health & Chiropractic PLLC Chiropractor CurrentSince Oct 18, 2024 Accepting new patients

Locations

6651 Crossings Dr SE
Ste B
Grand Rapids, MI 49508
Phone (616) 888-8161

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1700478757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6651 CROSSINGS DR SE STE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495087894",
            "telephone_number": "616-888-8161",
            "fax_number": "616-920-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6651 CROSSINGS DR SE STE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495087894",
            "telephone_number": "616-888-8161",
            "fax_number": "616-920-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLMAN",
        "first_name": "WILLIAM",
        "middle_name": "CORY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-10",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010971",
            "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 Oct 14, 2024; 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.