Joshua Konynenbelt, D.C., M.S.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010372 Issued in MI

Practice address

5570 Wilson Ave SW
Ste L
Wyoming, MI 49418-8867

Phone

(616) 928-8577

NPI assigned

Oct 6, 2015

Last updated

Oct 6, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Novo Chiropractic PLLC

  • Chiropractor
  • Wyoming, MI
  • NPI 1417328659
  Medicare reassignment NPD Authorized official
• Balance GR

  • Chiropractor
  • Wyoming, MI
  • NPI 1295158053
  NPD (past)

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1710357504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5570 WILSON AVE SW",
            "address_2": "STE L",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "494188867",
            "telephone_number": "616-928-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 WILSON AVE SW",
            "address_2": "STE L",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "494188867",
            "telephone_number": "616-928-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONYNENBELT",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "D.C., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurt Koepnick, MD
• Nicole Lee Kolasa
• Arnold Mark Koldenhoven Jr., D.C.
• Joshua Kolman, PHARM.D.
• Margaret Anne Konwinski, NP
• Lisa Konynenbelt, D.C.
• Emily Hope Kooienga
• Jack A Kooienga, APRN
• Kooistra Chiropractic Clinic PLLC
• Charles Scott Kooistra, DC

• Chiropractor in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.