Active NPI
Marc Andrew Demeester, D.C.
- Chiropractor
- Grandville, MI
National Provider Identifier
1720331887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6367
- Practice address
- 209 Bliss Dr SW
Grandville, MI 49418-2108 - Phone
- (303) 601-3820
- NPI assigned
- Oct 25, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6367 | CO | Primary |
| Thermography Chiropractor | 111NT0100X | 6367 | CO |
Addresses
Primary practice location
209 Bliss Dr SW
Grandville, MI 49418-2108
Mailing address
209 Bliss Dr SW
Grandville, MI 49418-2108
Phone (303) 601-3820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1027 Gezon Pkwy SW
Wyoming, MI 49509-9542
Phone (616) 301-8300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6367 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Higher Health Chiropractic Inc | Chiropractor | Current | Accepting new patients |
Locations
180 Baldwin St
Ste 101
Jenison, MI 49428
Phone (616) 574-2871
1027 Gezon Pkwy SW
Wyoming, MI 49509
Phone (616) 301-4961
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Wyoming, MI
- NPI 1699108571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422835200000",
"number": "1720331887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 BLISS DR SW",
"city": "GRANDVILLE",
"state": "MI",
"postal_code": "494182108",
"telephone_number": "303-601-3820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 BLISS DR SW",
"city": "GRANDVILLE",
"state": "MI",
"postal_code": "494182108",
"telephone_number": "303-601-3820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMEESTER",
"first_name": "MARC",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-25",
"last_updated": "2015-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "6367",
"primary": true
},
{
"code": "111NT0100X",
"taxonomy_group": "",
"desc": "Chiropractor, Thermography",
"state": "CO",
"license": "6367",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grandville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.