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OBSIDIAN CHIROPRACTIC, LLC
NPI 1154967651
Clinic/Center in Grand Rapids, MI

Active since November 20, 2019
2504 ARDMORE ST SE STE 102, GRAND RAPIDS, MI 49506(850) 218-0677 Get Directions Write a Review

NPPES record last updated: November 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Obsidian Chiropractic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OBSIDIAN CHIROPRACTIC, LLC (NPI 1154967651) is a healthcare organization registered as a clinic/center in Grand Rapids, Michigan and active in the NPI registry since November 2019. The organization lists Charles Justin Austin, Owner, as its authorized official.

NPPES Registry Identity

NPI1154967651
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameOBSIDIAN CHIROPRACTIC, LLC
Location Address2504 ARDMORE ST SE STE 102Grand Rapids, MI 49506-4901
Mailing Address319 Lyon St Ne Apt 1Grand Rapids, MI 49503-3381 · (850) 218-0677
Phone(850) 218-0677
Organization SubpartNo
Authorized OfficialCharles Justin AustinOwner · (850) 218-0677
Enumeration DateNovember 20, 2019
✔ NPI 1154967651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2504 ARDMORE ST SE STE 102, Grand Rapids, MI 49506
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Obsidian Chiropractic, LLC's NPI number?

The NPI number for Obsidian Chiropractic, LLC is 1154967651. It was assigned to this organization in the NPPES registry on November 20, 2019.

Where is Obsidian Chiropractic, LLC located?

Obsidian Chiropractic, LLC is located at 2504 Ardmore St SE Ste 102, Grand Rapids, MI 49506. The listed phone number is (850) 218-0677.

What is Obsidian Chiropractic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Obsidian Chiropractic, LLC was last updated on November 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.