DYKSTRA CHIROPRACTIC PC NPI 1952507626

NPI Information

  • NPI: 1952507626
  • Provider Name: DYKSTRA CHIROPRACTIC PC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 4072 CHICAGO DR SW
    GRANDVILLE, MI
    ZIP 49418
  • Phone: (616) 531-6050

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NPI Details

DYKSTRA CHIROPRACTIC PC is a chiropractor in Grandville, MI. The provider is 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. DYKSTRA CHIROPRACTIC PC NPI is 1952507626. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4072 CHICAGO DR SW
GRANDVILLE, MI
ZIP 49418-291
Phone: (616) 531-6050
Fax: (616) 531-6053

The provider's authorized official is Ronda Lynn Vanderwall .
The authorized official title is Doctor Of Chiropractic and has the following contact phone number (616) 531-6050.

The enumeration date for this NPI number is 6/21/2007 and was last updated on 5/8/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor2301008861MICHIGANNo
2111N00000XChiropractor2301010292MICHIGANNo
3111N00000XChiropractor2301009329MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1144842737MEDICAIDMICHIGAN
2OP24290MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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