Individual provider Active NPI

Daniel Jay Ohlman, D.O.

  • Nutrition Chiropractor
  • Grand Rapids, MI
National Provider Identifier
1740265826
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
2301004871 Issued in MI
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
950D15118OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060622000062 MI Practitioner - Chiropractic 6901818640 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Chiropractic Plus, P.C. Nutrition CurrentSince Jul 1, 2006 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.

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.

Verify at the official NPI Registry.