Active NPI
Daniel Jay Ohlman, D.O.
- Nutrition Chiropractor
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 2301004871
- Practice address
- 0-699 Tallmadge Wood Dr NW
Suite B
Grand Rapids, MI 49534-3349 - Phone
- (616) 791-9702
- Fax
- (616) 791-4661
- NPI assigned
- Dec 12, 2005
- Last updated
- Apr 24, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 2301004871 | MI | Primary |
Addresses
Primary practice location
0-699 Tallmadge Wood Dr NW
Suite B
Grand Rapids, MI 49534-3349
Mailing address
0-699 Tallmadge Wood Dr NW
Suite B
Grand Rapids, MI 49534-3349
Phone (616) 791-9702
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950D15118 | Other | MI | BLUE CROSS BLUE SHIELD |
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
- Other, 1983
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11279 Tallmadge WD Dr NW
Suite B
Grand Rapids, MI 49534-6318
Phone (616) 791-9702
11279 Tallmadge Woods Dr NW
Suite B
Grand Rapids, MI 49534-6319
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Plus, P.C. | Nutrition | Current | Accepting new patients |
Locations
11279 Tallmadge Woods Dr NW
Ste B
Grand Rapids, MI 49534
Phone (616) 791-9702
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.
-
- Nutrition Chiropractor
- Grand Rapids, MI
- NPI 1952349235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208995200000",
"number": "1740265826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "0-699 TALLMADGE WOOD DR NW",
"address_2": "SUITE B",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495343349",
"telephone_number": "616-791-9702",
"fax_number": "616-791-4661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "0-699 TALLMADGE WOOD DR NW",
"address_2": "SUITE B",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495343349",
"telephone_number": "616-791-9702",
"fax_number": "616-791-4661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OHLMAN",
"first_name": "DANIEL",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-12",
"last_updated": "2008-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "MI",
"license": "2301004871",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "950D15118",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.