NPIMap

Organization Active NPI

Lucey Chiropractic and Wellness Center

  • Chiropractor
  • Grand Rapids, MI
National Provider Identifier
1831579671
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010031 Issued in MI
Legal business name
LUCEY CHIROPRACTIC AND WELLNESS CENTER
Practice address
6504 28TH St SE
Suite H
Grand Rapids, MI 49546-6959
Phone
(989) 390-5799
Fax
(616) 228-8778
NPI assigned
Jun 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Authorized official

Name
Dr. Benjamin Lucey, D.C.NPI 1942552351
Title
Owner
Phone
(989) 390-5799

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 2301010031 MI Primary

Addresses

Primary practice location

6504 28TH St SE
Suite H
Grand Rapids, MI 49546-6959

Mailing address

6504 28TH St SE
Suite H
Grand Rapids, MI 49546-6959
Phone (989) 390-5799

National Provider Directory

National Provider Directory

Locations

6504 28th St SE
Ste H
Grand Rapids, MI 49546
Phone (989) 390-5799

Practitioners & affiliated clinicians

Practitioners 1

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": "1433635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1831579671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6504 28TH ST SE",
            "address_2": "SUITE H",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466959",
            "telephone_number": "989-390-5799",
            "fax_number": "616-228-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6504 28TH ST SE",
            "address_2": "SUITE H",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466959",
            "telephone_number": "989-390-5799",
            "fax_number": "616-228-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCEY CHIROPRACTIC AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-07",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "LUCEY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-390-5799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010031",
            "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 Dec 10, 2015; 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.