NORTHWEST CHIROPRACTIC AND SPORTS MEDICINE PLLC (NPI# 1285150888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285150888 |
| Entity Type | Organization |
| Organization Name | NORTHWEST CHIROPRACTIC AND SPORTS MEDICINE PLLC |
| Other Organization Name | NORTHWEST CHIROPRACTIC AND SPORTS MEDICINE |
| Practice Address |
14321 Northland Dr Ste 1 Big Rapids MI 49307-2310 |
| Mailing Address |
2849 S Baldwin Ave Fremont MI 49412-7816 |
| Practice Telephone | 2316298833 |
| Practice Fax Number | 2316298834 |
| Mailing Telephone | 6169166753 |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2019-07-09 |
| Authorized Official Name | DR. JAMES RYAN DIETRICK (OWNER) |
| Authorized Official Telephone | 2316298833 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
2301010554 | MI | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Northwest Chiropractic and Sports Medicine | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 621 N State St, Big Rapids, MI 493071452 | 2316298833 | 2317963510 |
| Street Address |
14321 NORTHLAND DR STE 1 |
| City | BIG RAPIDS |
| State | MI |
| Zip Code | 49307-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467099150 | Jayne Ann Graham | Custodial Care Facility | 831 Rose Avenue, Big Rapids, MI 49307 | 2019-12-02 |
| 1457904369 | Shannon Lynn Barstow | Registered Nurse | 20661 Okemos Rd, Big Rapids, MI 49307 | 2019-07-19 |
| 1235637604 | Kendra Lee Dolorfino | Nurse Practitioner | 650 Linden St Ste 4, Big Rapids, MI 49307 | 2018-01-31 |
| 1326553959 | Hope Primary and Urgent Care of Big Rapids Pllc | Clinic/Center | 201 Linden Street, Big Rapids, MI 49307 | 2017-12-05 |
| 1740539824 | Brandee Lee Gard | Community Health Worker | 745 Water Tower Rd., Big Rapids, MI 49307 | 2012-09-05 |
| 1497071641 | Kathleen Johnson | Adult Companion | 208 Maple St., Apt. 208, Big Rapids, MI 49307 | 2010-04-13 |
| 1144466822 | Big Rapids Dental Health Care Associates, PC | Dentist | 201 S. Michigan Ave, Big Rapids, MI 49307 | 2008-12-30 |
| 1134379894 | Fred Rodriguez | Hearing Instrument Specialist | 13452 Northland Drive, Big Rapids, MI 49307 | 2008-09-30 |
| 1740447275 | Catholic Charities West Michig | Community/Behavioral Health | 212 1/2 Maple Street, Big Rapids, MI 49307 | 2008-05-21 |
| 1144353905 | Robert R Scharp Dds PC | Dentist | 126 Maple St, Big Rapids, MI 49307 | 2007-03-13 |
| Find all providers in zip 49307 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215583273 | Marc A Gusse | Chiropractor | 3845 Iris Dr, Waterford Township, MI 48329-1171 | 2019-08-15 |
| 1326690728 | Theodore M. Koukles Dc PC | Chiropractor | 44777 Hayes Rd Ste A, Sterling Heights, MI 48313-1421 | 2019-07-15 |
| 1750768222 | Michael Justin Ramar | Chiropractor | 2061 25 Mile Rd, Shelby Township, MI 48316 | 2015-05-04 |
| 1932504958 | Shane William Pluger | Chiropractor | 2815 Michigan St Ne Ste C, Grand Rapids, MI 49506-1266 | 2014-11-03 |
| 1346662848 | American Chiropractic Medical Services LLC | Chiropractor | 621 Chartier Ste B, Marine City, MI 48039-2350 | 2014-01-17 |
| 1235443763 | Ryan Deubel | Chiropractor | 4627 Don St, Holt, MI 48842-1147 | 2010-07-26 |
| 1083889984 | Albion Chiropractic Clinic PC | Chiropractor | 404 E Michigan Ave, Albion, MI 49224-1845 | 2008-04-23 |
| 1659591709 | Charles Fred Decker | Chiropractor | 1324 S Park St Ste 3, Kalamazoo, MI 49001-2735 | 2007-04-30 |
| 1891879318 | Dr. James K. Sommers, Inc, PC | Chiropractor | 2844 Baker Rd, Dexter, MI 48130-1114 | 2006-10-24 |
| 1821183740 | Albert Peter Sawaya | Chiropractor | 120 Commerce Ct, Gladwin, MI 48624-1220 | 2006-10-04 |
| Find all providers with the same taxonomy | ||||
| City | BIG RAPIDS |
| Zip Code | 49307 |
Please comment or provide details below to improve the information on NORTHWEST CHIROPRACTIC AND SPORTS MEDICINE PLLC.
| 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.