Organization Active NPI

Bokma Chiropractic PLLC

  • Chiropractor
  • Zeeland, MI
National Provider Identifier
1851158802
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BOKMA CHIROPRACTIC PLLC
Practice address
9479 Riley St Ste 245
Zeeland, MI 49464-8750
Phone
(616) 239-1105
NPI assigned
Mar 5, 2024
Last updated
Mar 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Simon Charles Bokma, D.C.NPI 1902595325
Title
Partner
Phone
(616) 634-9703

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
Chiropractor 111N00000X Primary

Addresses

Primary practice location

9479 Riley St Ste 245
Zeeland, MI 49464-8750

Mailing address

9479 Riley St Ste 245
Zeeland, MI 49464-8750
Phone (616) 239-1105

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240319000433 MI Part B Supplier - Clinic/Group Practice 8224475819 Receives reassigned benefits from 2 practitioners
Practice locations: Zeeland, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1851158802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9479 RILEY ST STE 245",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494648750",
            "telephone_number": "616-239-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9479 RILEY ST STE 245",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494648750",
            "telephone_number": "616-239-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOKMA CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "BOKMA",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "616-634-9703",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zeeland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.