Organization Active NPI

Big Rapids Chiropractic, PLC

  • Chiropractor
  • Big Rapids, MI
National Provider Identifier
1760954697
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BIG RAPIDS CHIROPRACTIC, PLC
Practice address
109 S Warren Ave
Big Rapids, MI 49307-1843
Phone
(231) 796-0760
NPI assigned
Dec 17, 2018
Last updated
May 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Authorized official

Name
Jessica Monetza
Title
Billing Coordinator
Phone
(616) 396-6635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

109 S Warren Ave
Big Rapids, MI 49307-1843

Mailing address

258 James St Ste 10
Holland, MI 49424-1806
Phone (616) 396-6635

Other identifiers 1

IdentifierTypeStateIssuer
2301009161OtherMISTATE OF MICHIGAN

National Provider Directory

National Provider Directory

Locations

109 S Warren Ave
Big Rapids, MI 49307
Phone (231) 796-0760

258 James St
Holland, MI 49424

258 James St
Ste 10
Holland, MI 49424
Phone (616) 396-6635

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1760954697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 JAMES ST STE 10",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494241806",
            "telephone_number": "616-396-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S WARREN AVE",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071843",
            "telephone_number": "231-796-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG RAPIDS CHIROPRACTIC, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "MONETZA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "616-396-6635"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN",
            "identifier": "2301009161",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.