NPIMap

Organization Active NPI

Paul J. Prol, D.C.,P.C.

  • Orthopedic Chiropractor
  • Grand Rapids, MI
National Provider Identifier
1750632360
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
2301003013 Issued in MI
Legal business name
PAUL J. PROL, D.C.,P.C.
Practice address
4286 Cascade Rd SE
Grand Rapids, MI 49546-8301
Phone
(616) 942-8770
Fax
(616) 942-8857
NPI assigned
Sep 21, 2012
Last updated
Sep 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Authorized official

Name
Dr. Paul John Prol, DC
Title
President
Phone
(616) 942-8770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0800X 2301003013 MI Primary

Addresses

Primary practice location

4286 Cascade Rd SE
Grand Rapids, MI 49546-8301

Mailing address

4286 Cascade Rd SE
Grand Rapids, MI 49546-8301
Phone (616) 942-8770

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1750632360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4286 CASCADE RD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468301",
            "telephone_number": "616-942-8770",
            "fax_number": "616-942-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4286 CASCADE RD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468301",
            "telephone_number": "616-942-8770",
            "fax_number": "616-942-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL J. PROL, D.C.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-21",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "PROL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-942-8770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "MI",
            "license": "2301003013",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 21, 2012; 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.