DC Healthy Living Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009220 Issued in MI

Legal business name

DC HEALTHY LIVING CENTER

Practice address

1100 4 Mile Rd NW
Suite D
Grand Rapids, MI 49544-7397

Phone

(616) 301-2225

Fax

(616) 719-4593

NPI assigned

Nov 10, 2010

Organization subpart

No

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

Authorized official

Name

Jimmy Kwok, D.C.NPI 1679632830

Title

Owner

Phone

(616) 301-2225

Specialties & licenses 1

Addresses

Other names 1

• DC Chiropractic Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jimmy Kwok, D.C.

  • Chiropractor
  • Troy, MI
  • NPI 1679632830
  NPD (past) Authorized official

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1891096699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 4 MILE RD NW",
            "address_2": "SUITE D",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495447397",
            "telephone_number": "616-301-2225",
            "fax_number": "616-719-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 4 MILE RD NW",
            "address_2": "SUITE D",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495447397",
            "telephone_number": "616-301-2225",
            "fax_number": "616-719-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DC HEALTHY LIVING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "KWOK",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-301-2225",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DC Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Erin Alexa Day, DO
• Lori Jean Day, MD
• Susan M Day, MD
• Rick Dayton, DDS
• Roshanah Dayton
• DCM5 LLC
• Christine De Anna, RN
• James Bernard De Boe, PH.D.
• Mattie A De Boe, LMSW
• Jack De Boer, CCC-A

• Chiropractor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.