Individual provider Active NPI

Arnold Mark Koldenhoven Jr., D.C.

  • Chiropractor
  • Wyoming, MI
National Provider Identifier
1851444582
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010860 Issued in IL
Practice address
1428 44TH St SW Ste E
Wyoming, MI 49509-4312
Phone
(630) 947-2464
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038010860 IL Primary

Addresses

Primary practice location

1428 44TH St SW Ste E
Wyoming, MI 49509-4312

Mailing address

1428 44TH St SW
Suite E
Wyoming, MI 49509
Phone (630) 947-2464

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140211001860 MI Practitioner - Chiropractic 2769585306 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1428 44TH St SW
Suite E
Wyoming, MI 49509-4312
Phone (616) 947-4077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038010860ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Chiropractic and Neuropathy Center CurrentSince Sep 8, 2025 Accepting new patients
Kooistra Chiropractic Clinic PLLC Chiropractor CurrentSince Jan 1, 2014 Accepting new patients
Koldenhoven Chiropractic LLC Chiropractor PastSince Feb 1, 2007 Accepting new patients
Elevated Health Essentials, LLC Chiropractor Past Accepting new patients
Michigan Pain Consultants PC PastSince Jan 1, 2014 Accepting new patients

Locations

2855 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 532-2518

1428 44th St SW
Ste E
Wyoming, MI 49509
Phone (616) 299-2493

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJDADD

Organizations & group practices 5

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1851444582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 44TH ST SW",
            "address_2": "SUITE E",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "49509",
            "telephone_number": "630-947-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 44TH ST SW STE E",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495094312",
            "telephone_number": "630-947-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLDENHOVEN",
        "first_name": "ARNOLD",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.