William Fisher, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010852 Issued in MI

Practice address

4693 Wilson Ave SW Ste K
Grandville, MI 49418-8762

Phone

(616) 930-6802

Fax

(616) 730-4052

NPI assigned

Dec 4, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Structure and Function Chiropractic and Rehab PLCGroup PAC ID 5698997351, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Structure and Function Chiropractic and Rehab PLC

  • Chiropractor
  • Traverse City, MI
  • NPI 1306240627
  Medicare reassignment Care Compare group NPD
• Life Chiropractic and Wellness Center Inc.

  • Chiropractor
  • Prudenville, MI
  • NPI 1538583554
  Medicare reassignment NPD
• Pathways Chiropractic PLLC

  • Chiropractor
  • Traverse City, MI
  • NPI 1104287622
  NPD (past)

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1851938336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4693 WILSON AVE SW STE K",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494188762",
            "telephone_number": "616-930-6802",
            "fax_number": "616-730-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4693 WILSON AVE SW STE K",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494188762",
            "telephone_number": "616-930-6802",
            "fax_number": "616-730-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "WILLIAM",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.