Douma Back & Neck Pain Relief Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301008084 Issued in MI

Legal business name

DOUMA BACK & NECK PAIN RELIEF INC

Practice address

8080 Moorsbridge Rd
Portage, MI 49024-4421

Phone

(269) 321-7733

NPI assigned

Oct 7, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jaan Douma, D.C.NPI 1912059668

Title

Chiropractor/Owner

Phone

(269) 321-7733

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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

• Jaan Douma, D.C.

  • Chiropractor
  • Portage, MI
  • NPI 1912059668
  Medicare reassignment NPD Authorized official
• Craig A. Stull, D.C.

  • Nutrition Chiropractor
  • Portage, MI
  • NPI 1154392843
  NPD (past)

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1922318013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 MOORSBRIDGE RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244421",
            "telephone_number": "269-321-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 MOORSBRIDGE RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244421",
            "telephone_number": "269-321-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUMA BACK & NECK PAIN RELIEF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "DOUMA",
        "authorized_official_first_name": "JAAN",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "269-321-7733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristi Dodge Julien, DPT
• Kristin A Donewald, CNM
• Jason C Dopp, D.D.S.
• Linda Dorbin
• Darrah Susan-Gae Dorman, LLMSW
• Jaan Douma, D.C.
• Brittany Rose Doxey, PA-C
• Katlin M Doyle
• Dr Marie Fox PLC
• Erika K. Driver, PSY.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.