Individual provider Active NPI

Derek D Munson, DC

  • Chiropractor
  • Wyoming, MI
National Provider Identifier
1992373179
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301011109 Issued in MI
Practice address
5570 Wilson Street SW
Suite NM
Wyoming, MI 49418
Phone
(616) 259-9835
Fax
(616) 258-8897
NPI assigned
Jun 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301011109 MI Primary

Addresses

Primary practice location

5570 Wilson Street SW
Suite NM
Wyoming, MI 49418

Mailing address

5570 Wilson Street SW
Suite NM
Wyoming, MI 49418
Phone (616) 259-9835

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210910002022 MI Practitioner - Chiropractic 2961808290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zuidema Chiropractic PLLCGroup PAC ID 4486034329, 4 clinicians

Practice addresses (Care Compare)

36 44TH St SW
Mission Chiropractic and Health
Grandville, MI 49418-2177
Phone (616) 457-5700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301011109MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Novo Chiropractic North, PLLC Chiropractor CurrentSince Jun 14, 2021 Accepting new patients
Sheeran Chiropractic, P.L.L.C. Chiropractor CurrentSince Jun 24, 2024 Accepting new patients
Zuidema Chiropractic PLLC Chiropractor CurrentSince Jun 24, 2024 Accepting new patients

Locations

2355 Belmont Center Dr NE
Ste 100
Belmont, MI 49306
Phone (616) 427-3210

36 44th St SW
Grandville, MI 49418
Phone (616) 457-5700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1992373179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5570 WILSON STREET SW",
            "address_2": "SUITE NM",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "49418",
            "telephone_number": "616-259-9835",
            "fax_number": "616-258-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 WILSON STREET SW",
            "address_2": "SUITE NM",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "49418",
            "telephone_number": "616-259-9835",
            "fax_number": "616-258-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNSON",
        "first_name": "DEREK",
        "middle_name": "D",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301011109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.