Individual provider Active NPI

Craig Theodore Van Woudenberg, DC

  • Chiropractor
  • Petoskey, MI
National Provider Identifier
1841147741
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301401715 Issued in MI
Practice address
1523 US Highway 131 Ste C
Petoskey, MI 49770-8891
Phone
(231) 347-7272
NPI assigned
Mar 11, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301401715 MI Primary

Addresses

Primary practice location

1523 US Highway 131 Ste C
Petoskey, MI 49770-8891

Mailing address

1523 US Highway 131 Ste C
Petoskey, MI 49770-8891
Phone (231) 347-7272

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260527001542 MI Practitioner - Chiropractic 3779053152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Center of Petoskey PCGroup PAC ID 9335229764, 3 clinicians

Practice addresses (Care Compare)

1523 US 131 S C
Petoskey, MI 49770-8891
Phone (231) 347-7272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301401715MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Center of Petoskey PC Chiropractor CurrentSince May 1, 2026 Accepting new patients

Locations

1523 US Highway 131
Ste C
Petoskey, MI 49770
Phone (231) 347-7272

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1773187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1841147741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 US HIGHWAY 131 STE C",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708891",
            "telephone_number": "231-347-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 US HIGHWAY 131 STE C",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708891",
            "telephone_number": "231-347-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN WOUDENBERG",
        "first_name": "CRAIG",
        "middle_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.