Organization Active NPI

Lakeside Osteopathic Manipulative Medicine PLLC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Holland, MI
National Provider Identifier
1740191832
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
Legal business name
LAKESIDE OSTEOPATHIC MANIPULATIVE MEDICINE PLLC
Practice address
1180 Ottawa Beach Rd Ste 3
Holland, MI 49424-2597
Phone
(616) 251-1815
Fax
(616) 251-1202
NPI assigned
Sep 16, 2026
Last updated
Sep 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Authorized official

Name
Dr. Madeline Ginn-Terpstra, DO
Title
Sole Member
Phone
(616) 251-1815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X Primary

Addresses

Primary practice location

1180 Ottawa Beach Rd Ste 3
Holland, MI 49424-2597

Mailing address

1180 Ottawa Beach Rd Ste 3
Holland, MI 49424-2597
Phone (616) 251-1815

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1740191832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 OTTAWA BEACH RD STE 3",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242597",
            "telephone_number": "616-251-1815",
            "fax_number": "616-251-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 OTTAWA BEACH RD STE 3",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242597",
            "telephone_number": "616-251-1815",
            "fax_number": "616-251-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE OSTEOPATHIC MANIPULATIVE MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "GINN-TERPSTRA",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "616-251-1815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.