Active NPI
Linda S Squires, DC
- Chiropractor
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 230101064
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1132 | MA | MD | Marriage & Family Therapist |
| 230101064 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linda S. Squires, D.C., P.C. | Chiropractor | Current | Accepting new patients |
| Transition Pathways,Inc | Past | 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.
-
- Chiropractor
- Grand Rapids, MI
- NPI 1104226067
-
- Clinical Social Worker
- Grand Rapids, MI
- NPI 1467775668
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.