Good Life Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009095 Issued in MI

Legal business name

GOOD LIFE CHIROPRACTIC INC.

Practice address

1145 Washington Ave
Unit C
Holland, MI 49423-5296

Phone

(616) 396-9940

Fax

(616) 396-9941

NPI assigned

Apr 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Maurice Sampedro, D.CNPI 1942289525

Title

President

Phone

(616) 396-9940

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Maurice Ashley Sampedro, D.C.

  • Chiropractor
  • Kentwood, MI
  • NPI 1942289525
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1942590252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 WASHINGTON AVE",
            "address_2": "UNIT C",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494235296",
            "telephone_number": "616-396-9940",
            "fax_number": "616-396-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 WASHINGTON AVE",
            "address_2": "UNIT C",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494235296",
            "telephone_number": "616-396-9940",
            "fax_number": "616-396-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "SAMPEDRO",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-396-9940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine J Gockman, PH.D.
• Leonard S Goldfarb, DDS
• Daniel Golin, MD
• Alicia R Goll, BS, BT
• Gabrielle Gomez
• Goodwill Optical Inc (Goodwill Optical)
• Sean R Goodwin, MD
• Mary Joy Gootjes, M.D.
• Charity Gorbach, LMSW, CAADC
• Daniel Bryan Gordon, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.