Active NPI
Vassar Chiropractic and Rehabilitation PLC
- Chiropractor
- South Haven, MI
National Provider Identifier
1982944070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- VASSAR CHIROPRACTIC AND REHABILITATION PLC
- Practice address
- 330 Kalamazoo St
Unit #3
South Haven, MI 49090-1388 - Phone
- (269) 277-2257
- NPI assigned
- Feb 26, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Justin Vassar, DC
- Title
- Owner
- Phone
- (269) 277-2257
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
330 Kalamazoo St
Unit #3
South Haven, MI 49090-1388
Mailing address
330 Kalamazoo St
Unit #3
South Haven, MI 49090-1388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130520000193 | MI | Part B Supplier - Clinic/Group Practice | 2163669714 |
Receives reassigned benefits from 1 practitioner Practice locations: South Haven, MI |
National Provider Directory
National Provider DirectoryLocations
330 Kalamazoo St
Ste 3
South Haven, MI 49090
Phone (269) 277-2257
Practitioners & affiliated clinicians
Practitioners 1
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": "1361836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362614400000",
"number": "1982944070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 KALAMAZOO ST",
"address_2": "UNIT #3",
"city": "SOUTH HAVEN",
"state": "MI",
"postal_code": "490901388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 KALAMAZOO ST",
"address_2": "UNIT #3",
"city": "SOUTH HAVEN",
"state": "MI",
"postal_code": "490901388",
"telephone_number": "269-277-2257"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VASSAR CHIROPRACTIC AND REHABILITATION PLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-26",
"last_updated": "2013-03-07",
"status": "A",
"authorized_official_last_name": "VASSAR",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "269-277-2257",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Haven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.