NPIMap

Organization Active NPI

Vitality Chiropractic Center PLC

  • Chiropractor
  • Grand Haven, MI
National Provider Identifier
1982997516
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008814 Issued in MI
Legal business name
VITALITY CHIROPRACTIC CENTER PLC
Practice address
600 S Beacon Blvd
Suite B
Grand Haven, MI 49417-2178
Phone
(616) 402-3418
Fax
(616) 743-5945
NPI assigned
May 16, 2011
Last updated
May 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Authorized official

Name
Dr. Susan Isaacs, D.C.NPI 1043450026
Title
Chiropractor
Phone
(616) 402-3418

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301008814 MI Primary

Addresses

Primary practice location

600 S Beacon Blvd
Suite B
Grand Haven, MI 49417-2178

Mailing address

600 S Beacon Blvd
Suite B
Grand Haven, MI 49417-2178
Phone (616) 402-3418

National Provider Directory

National Provider Directory

Locations

600 S Beacon Blvd
Ste B
Grand Haven, MI 49417
Phone (616) 402-3418

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1982997516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S BEACON BLVD",
            "address_2": "SUITE B",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172178",
            "telephone_number": "616-402-3418",
            "fax_number": "616-743-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S BEACON BLVD",
            "address_2": "SUITE B",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172178",
            "telephone_number": "616-402-3418",
            "fax_number": "616-743-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY CHIROPRACTIC CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "ISAACS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "616-402-3418",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.