NPIMap

Organization Active NPI

Grand River Chiropractic Life Center

  • Chiropractor
  • Howell, MI
National Provider Identifier
1700894367
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GRAND RIVER CHIROPRACTIC LIFE CENTER
Practice address
3473 E. Grand River Ave
Suite a
Howell, MI 48843
Phone
(517) 546-4888
Fax
(517) 546-5003
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Authorized official

Name
Dr. Martha M Schneider, DCNPI 1528076163
Title
Owner
Phone
(517) 546-4888

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3473 E. Grand River Ave
Suite a
Howell, MI 48843

Mailing address

3473 E. Grand River Ave
Suite a
Howell, MI 48843
Phone (517) 546-4888

Other identifiers 2

IdentifierTypeStateIssuer
0D77609OtherMIBLUE CROSS BLUE SHIELD
3216874MedicaidMI

National Provider Directory

National Provider Directory

Locations

3473 E Grand River Ave
Howell, MI 48843
Phone (517) 546-4888

Practitioners & affiliated clinicians

Practitioners 2

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": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1700894367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3473 E. GRAND RIVER AVE",
            "address_2": "SUITE A",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "48843",
            "telephone_number": "517-546-4888",
            "fax_number": "517-546-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3473 E. GRAND RIVER AVE",
            "address_2": "SUITE A",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "48843",
            "telephone_number": "517-546-4888",
            "fax_number": "517-546-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND RIVER CHIROPRACTIC LIFE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-546-4888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0D77609",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3216874",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.