Organization Active NPI

Fogg Chiropractic

  • Chiropractor
  • Holland, MI
National Provider Identifier
1942539366
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FOGG CHIROPRACTIC
Practice address
314 N 120TH Ave
Holland, MI 49424-3313
Phone
(616) 399-2255
Fax
(616) 399-2256
NPI assigned
Dec 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Authorized official

Name
Dr. Adam Michael Fogg, D.C.NPI 1497833461
Title
Chiropractor/Owner
Phone
(616) 399-2255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

314 N 120TH Ave
Holland, MI 49424-3313

Mailing address

314 N 120TH Ave
Holland, MI 49424-3313
Phone (616) 399-2255

National Provider Directory

National Provider Directory

Locations

314 N 120th Ave
Holland, MI 49424
Phone (616) 399-2255

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1942539366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 N 120TH AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494243313",
            "telephone_number": "616-399-2255",
            "fax_number": "616-399-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 N 120TH AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494243313",
            "telephone_number": "616-399-2255",
            "fax_number": "616-399-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOGG CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "FOGG",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "616-399-2255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.