NPIMap

Organization Active NPI

West Michigan Spine and Wellness

  • Chiropractor
  • Grand Rapids, MI
National Provider Identifier
1922347277
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009575 Issued in MI
Legal business name
WEST MICHIGAN SPINE AND WELLNESS
Practice address
1821 Ranch Dr NW
Grand Rapids, MI 49504-2520
Phone
(616) 308-4663
NPI assigned
Feb 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Authorized official

Name
Dr. Michael Robert Dubiel, DC
Title
Member
Phone
(616) 308-4663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301009575 MI Primary

Addresses

Primary practice location

1821 Ranch Dr NW
Grand Rapids, MI 49504-2520

Mailing address

1821 Ranch Dr NW
Grand Rapids, MI 49504-2520
Phone (616) 308-4663

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1922347277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 RANCH DR NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495042520",
            "telephone_number": "616-308-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 RANCH DR NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495042520",
            "telephone_number": "616-308-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MICHIGAN SPINE AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "DUBIEL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "616-308-4663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009575",
            "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 Feb 6, 2013; 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.