Warner De Leeuw IV, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009355 Issued in MI

Practice address

0-81 Lake Michigan Drive, NW
Grand Rapids, MI 49534-8722

Phone

(616) 243-1444

Fax

(616) 243-2434

NPI assigned

Jan 10, 2008

Last updated

Apr 4, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Warner de Leeuw IV, PC

  dba American Chiropractic Center PC

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1376713347
  Medicare reassignment NPD Authorized official
• De Leeuw Chiropractic Center PC

  dba American Chiropractic Center PC

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1841210416
  NPD (past)

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1932385838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "0-81 LAKE MICHIGAN DRIVE, NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495348722",
            "telephone_number": "616-243-1444",
            "fax_number": "616-243-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "0-81 LAKE MICHIGAN DRIVE, NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495348722",
            "telephone_number": "616-243-1444",
            "fax_number": "616-243-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEEUW IV",
        "first_name": "WARNER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-10",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "P57110001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eva Marie De la Cruz
• Marimar De la Cruz
• Leticia De la Paz
• William Anthony De Las Navas, M.D.
• De Leeuw Chiropractic Center PC (American Chiropractic Center PC)
• Susana Michelle De Leon, LLMSW
• Tuesday De Longpre, CRNA
• Serena Olga De Los Santos, CHW, CPST,
• Aline De Quadros Teixeira, MD
• Jorgelina T. De Sanctis, MD

• 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 Apr 4, 2023; 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.