NPIMap

Organization Active NPI

JJS PLLC

Doing business as Wilcox Family Chiropractic

  • Chiropractor
  • Kentwood, MI
National Provider Identifier
1831383751
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JJS PLLC
Doing business as
Wilcox Family Chiropractic
Practice address
935 52ND St SE
Kentwood, MI 49508-6003
Phone
(616) 531-1500
Fax
(616) 531-2881
NPI assigned
Sep 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Authorized official

Name
Justine Stevens, DCNPI 1194178582
Title
Owner
Phone
(616) 531-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X MI Primary

Addresses

Primary practice location

935 52ND St SE
Kentwood, MI 49508-6003

Mailing address

935 52ND St SE
Kentwood, MI 49508-6003
Phone (616) 531-1500

Other names 1

  • Wilcox Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211221001300 MI Part B Supplier - Clinic/Group Practice 1951792241 Receives reassigned benefits from 2 practitioners
Practice locations: Kentwood, MI

National Provider Directory

National Provider Directory

Locations

935 52nd St SE
Kentwood, MI 49508
Phone (616) 531-1500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1831383751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 52ND ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495086003",
            "telephone_number": "616-531-1500",
            "fax_number": "616-531-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 52ND ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495086003",
            "telephone_number": "616-531-1500",
            "fax_number": "616-531-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-531-1500",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilcox Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kentwood, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.