NPIMap

Organization Active NPI

Georgetown Chiropractic

  • Chiropractor
  • Jenison, MI
National Provider Identifier
1710016944
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GEORGETOWN CHIROPRACTIC
Practice address
7579 Main St
Jenison, MI 49428-9251
Phone
(616) 457-4511
Fax
(616) 667-1936
NPI assigned
Mar 5, 2007
Last updated
Apr 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Dr. Leonard H Nienhuis, D.C.NPI 1437133865
Title
Partner
Phone
(616) 457-4511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

7579 Main St
Jenison, MI 49428-9251

Mailing address

7579 Main St
Jenison, MI 49428-9251
Phone (616) 457-4511

Other identifiers 3

IdentifierTypeStateIssuer
0G05036OtherMIMEDICARE PLUS BLUE
959G01031OtherMIBC ID NUMBER
DG7550OtherMIRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1710016944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7579 MAIN ST",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494289251",
            "telephone_number": "616-457-4511",
            "fax_number": "616-667-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7579 MAIN ST",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494289251",
            "telephone_number": "616-457-4511",
            "fax_number": "616-667-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "NIENHUIS",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "616-457-4511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PLUS BLUE",
            "identifier": "0G05036",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC ID NUMBER",
            "identifier": "959G01031",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG7550",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenison, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.