Ronda Lynn Vanderwall, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009329 Issued in MI

Practice address

4072 Chicago Dr SW
Grandville, MI 49418-1291

Phone

(616) 531-6050

Fax

(616) 531-6053

NPI assigned

Mar 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Dykstra Chiropractic PC

  • Chiropractor
  • Grandville, MI
  • NPI 1952507626
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1720107915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4072 CHICAGO DR SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181291",
            "telephone_number": "616-531-6050",
            "fax_number": "616-531-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4072 CHICAGO DR SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181291",
            "telephone_number": "616-531-6050",
            "fax_number": "616-531-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERWALL",
        "first_name": "RONDA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurora Neeson Vanderhart, LHIS
• Tamera Vanderlind, MA., LPC
• James H Vandermay, LMSW
• Kayla Vanderstel, MD
• Kurt Vanderveen, PA-C
• Cassi Vandewater
• Meghan Vandewater, CCC-SLP, C/NDT
• Janet Beth Vandusen, PT
• Jennifer Vaneyk
• Kimberley Joanne Vanhaitsma, LMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.