Coopersville Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009825 Issued in MI

Legal business name

COOPERSVILLE CHIROPRACTIC LLC

Practice address

25 68TH Ave N
Suite J
Coopersville, MI 49404-9223

Phone

(616) 997-1938

NPI assigned

Jan 26, 2012

Last updated

Jan 26, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Susan Ireland, D.C.

Title

Owner/Operator

Phone

(313) 218-1938

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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.

• Jessica Susan Steenstra, DC

  • Chiropractor
  • Coopersville, MI
  • NPI 1912284555
  Medicare reassignment NPD

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1851662571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 68TH AVE N",
            "address_2": "SUITE J",
            "city": "COOPERSVILLE",
            "state": "MI",
            "postal_code": "494049223",
            "telephone_number": "616-997-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 68TH AVE N",
            "address_2": "SUITE J",
            "city": "COOPERSVILLE",
            "state": "MI",
            "postal_code": "494049223",
            "telephone_number": "616-997-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPERSVILLE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "IRELAND",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "313-218-1938",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Bukrey
• Julie Kristine Bukrey, PT
• Checordra LLC (Tasker's Drug Store)
• Susan Cogswell
• Kaylie Ann Cole
• Coopersville Dental Associates Inc
• Coopersville Vision Center PC
• Kari Cottrell, COTA/L
• David M Shabluk DDS, PC
• Susan Dice, LMSW

• Chiropractor in Coopersville, MI
• Providers in Coopersville, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.