Individual provider Active NPI

Linda S Squires, DC

  • Chiropractor
  • Grand Rapids, MI
National Provider Identifier
1851495840
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
230101064 Issued in MI
Practice address
3368 E Beltline CT NE
Grand Rapids, MI 49525-9480
Phone
(800) 987-1368
Fax
(616) 363-6679
NPI assigned
Sep 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1132 MA
Chiropractor 111N00000X 230101064 MI Primary

Addresses

Primary practice location

3368 E Beltline CT NE
Grand Rapids, MI 49525-9480

Mailing address

2059 College Ave SE
Grand Rapids, MI 49507-3101
Phone (617) 538-8152

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140926001933 MI Practitioner - Chiropractic 8527078963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2059 College Ave SE
Grand Rapids, MI 49507-3101

3355 Eagle Park Dr NE
Suite 107
Grand Rapids, MI 49525-7004
Phone (877) 866-5133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1132MAMDMarriage & Family Therapist
230101064MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Linda S. Squires, D.C., P.C. Chiropractor CurrentSince Nov 30, 2013 Accepting new patients
Transition Pathways,Inc PastSince Jun 16, 2015 Accepting new patients

Locations

3355 Eagle Park Dr NE
Ste 107
Grand Rapids, MI 49525
Phone (616) 666-9921

3368 Beltline Ct NE
Grand Rapids, MI 49525
Phone (616) 236-3637

Organizations & group practices 2

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": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1851495840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2059 COLLEGE AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495073101",
            "telephone_number": "617-538-8152",
            "fax_number": "616-363-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3368 E BELTLINE CT NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259480",
            "telephone_number": "800-987-1368",
            "fax_number": "616-363-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUIRES",
        "first_name": "LINDA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1132",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "230101064",
            "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 Jun 16, 2014; 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.