Active NPI
Craig S Rockwell DC PLLC
- Physical Disabilities Residential Treatment Facility
- Jenison, MI
National Provider Identifier
1750642997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- License
- 2301004746
- Legal business name
- CRAIG S ROCKWELL DC PLLC
- Practice address
- 7579 Main St
Jenison, MI 49428-9251 - Phone
- (616) 457-4511
- Fax
- (616) 667-1936
- NPI assigned
- Jun 5, 2012
- Last updated
- Jun 5, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Craig Stephen Rockwell, DC
- Title
- Sole MBR
- Phone
- (616) 457-4511
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | 2301004746 | MI | Primary |
Addresses
Primary practice location
7579 Main St
Jenison, MI 49428-9251
Mailing address
7579 Main St
Jenison, MI 49428-9251
Phone (616) 457-4511
National Provider Directory
National Provider DirectoryLocations
7579 Main St
Jenison, MI 49428
Phone (616) 457-4511
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Jenison, MI
- NPI 1578547907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1338854400000",
"number": "1750642997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7579 MAIN ST",
"city": "JENISON",
"state": "MI",
"postal_code": "494289251",
"telephone_number": "616-457-4511",
"fax_number": "616-667-1936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7579 MAIN ST",
"city": "JENISON",
"state": "MI",
"postal_code": "494289251",
"telephone_number": "616-457-4511",
"fax_number": "616-667-1936"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRAIG S ROCKWELL DC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-05",
"last_updated": "2012-06-05",
"status": "A",
"authorized_official_last_name": "ROCKWELL",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "STEPHEN",
"authorized_official_title_or_position": "SOLE MBR",
"authorized_official_telephone_number": "616-457-4511",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": "MI",
"license": "2301004746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jenison, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.