PRO-ACTIVE CHIROPRACTIC WELLNESS OF GRAND RAPIDS (NPI# 1114532835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114532835 |
| Entity Type | Organization |
| Organization Name | PRO-ACTIVE CHIROPRACTIC WELLNESS OF GRAND RAPIDS |
| Practice Address |
4270 Plainfield Ave Ne # E Grand Rapids MI 49525-1603 |
| Mailing Address |
4270 Plainfield Ave Ne Grand Rapids MI 49525-1603 |
| Practice Telephone | 6162284189 |
| Practice Fax Number | 6162887901 |
| Mailing Telephone | 6162284189 |
| Mailing Fax Number | 6162887901 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-11-09 |
| Authorized Official Name | JULIEANNE DOWNING (OFFICE MANAGER) |
| Authorized Official Telephone | 6162284189 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NPI 1 | 1306302864 | 01 |
| Street Address |
4270 PLAINFIELD AVE NE # E |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942823695 | Seth Andrew Leali | Chiropractor | 610 Maryland Ave Ne Ste B, Grand Rapids, MI 49505-6052 | 2020-05-28 |
| 1043833213 | Christopher Carl Netley | Chiropractor | 2020 Raybrook St Se Ste 204-d, Grand Rapids, MI 49546-7717 | 2020-05-22 |
| 1477185312 | 100 Percent Chiropractic Santos, LLC | Chiropractor | 2321 E Beltline Ave Ne Ste D, Grand Rapids, MI 49525-9803 | 2020-02-09 |
| 1164087052 | Zachary David Nelson | Chiropractor | 11279 Tallmadge Woods Dr Nw, Grand Rapids, MI 49534-6318 | 2019-05-06 |
| 1760959084 | Charles Justin Austin | Chiropractor | 2504 Ardmore St Se, Grand Rapids, MI 49506-4901 | 2018-10-24 |
| 1568959211 | Northside Chiropractic LLC | Chiropractor | 2221 Plainfield Ave Ne Ste 109, Grand Rapids, MI 49505-4215 | 2018-04-18 |
| 1831694983 | Connor Wade Knapp | Chiropractor | 6807 Cascade Rd Se Ste D, Grand Rapids, MI 49546-8722 | 2018-03-29 |
| 1528587524 | Melissa Thomas | Chiropractor | 4150 E Beltline Ave Ne Ste 3, Grand Rapids, MI 49525-9316 | 2017-09-12 |
| 1619497336 | Safina Ngandu | Chiropractor | 2180 44th St Se Ste 209, Grand Rapids, MI 49508-5305 | 2017-06-23 |
| 1083142939 | Ann M Bishop | Chiropractor | 1430 Robinson Rd Se Ste 201, Grand Rapids, MI 49506-1780 | 2017-05-23 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on PRO-ACTIVE CHIROPRACTIC WELLNESS OF GRAND RAPIDS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.