Individual provider Active NPI

Daniel J Weessies, D.C.

  • Chiropractor
  • Jenison, MI
National Provider Identifier
1932470929
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009917 Issued in MI
Practice address
7610 Cottonwood Dr Ste 101
Jenison, MI 49428-8310
Phone
(616) 457-1168
Fax
(616) 457-1196
NPI assigned
Jan 23, 2012
Last updated
Jan 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009917 MI Primary

Addresses

Primary practice location

7610 Cottonwood Dr Ste 101
Jenison, MI 49428-8310

Mailing address

7610 Cottonwood Dr Ste 101
Jenison, MI 49428-8310
Phone (616) 457-1168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120423000012 MI Practitioner - Chiropractic 5890956627 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19084 N Fruitport Rd
Spring Lake, MI 49456-1163
Phone (616) 846-5410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Integrative Health Center PLLC Chiropractor CurrentSince Sep 9, 2024 Accepting new patients
Eric R Hartman, DC, PLLC Chiropractor PastSince Oct 5, 2009 Accepting new patients

Locations

19084 N Fruitport Rd
Spring Lake, MI 49456
Phone (616) 846-5410

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1932470929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 COTTONWOOD DR STE 101",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494288310",
            "telephone_number": "616-457-1168",
            "fax_number": "616-457-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 COTTONWOOD DR STE 101",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494288310",
            "telephone_number": "616-457-1168",
            "fax_number": "616-457-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEESSIES",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenison, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.