Brandon Dykstra, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301401412 Issued in MI

Practice address

9479 Riley St Ste 245
Zeeland, MI 49464-8750

Phone

(616) 239-1105

NPI assigned

Apr 28, 2023

Last updated

Apr 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brandon Dykstra Chiropractic LLC

  • Chiropractor
  • Zeeland, MI
  • NPI 1043083256
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1922796747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9479 RILEY ST STE 245",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494648750",
            "telephone_number": "616-239-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9479 RILEY ST STE 245",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494648750",
            "telephone_number": "616-239-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKSTRA",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Dressler, NP
• Robert Drew
• Duane Saxton MD PC
• Kay Duysen-Peacock, MS, RD
• DVT Care LLC
• Andrea Lynn Eastway, NP
• Brooke Lynne Elenbaas Ten Hagen, LMSW
• Ellens Therapy Services LLC
• Emily Anne Ellens, MA, LLP
• Julie Emelander, PHARMD.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.