GREAT LAKES FAMILY CHIROPRACTIC, INC.
NPI 1811975717
Chiropractor in Kentwood, MI

Active since January 03, 2006
3138 BROADMOOR AVE SE, KENTWOOD, MI 49512(616) 241-4040(616) 475-6953 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Great Lakes Family Chiropractic, Inc. NPPES

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

GREAT LAKES FAMILY CHIROPRACTIC, INC. (NPI 1811975717) is a healthcare organization registered as a chiropractor in Kentwood, Michigan and active in the NPI registry since January 2006. The organization lists Douglas Gene Mckenzie, Dr. Owner, as its authorized official.

NPPES Registry Identity

NPI1811975717
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameGREAT LAKES FAMILY CHIROPRACTIC, INC.
Location Address3138 BROADMOOR AVE SEKentwood, MI 49512-1845
Mailing Address3138 Broadmoor Ave SeKentwood, MI 49512-1845 · (616) 241-4040 · Fax (616) 475-6953
Fax(616) 475-6953
Organization SubpartNo
Authorized OfficialDouglas Gene MckenzieDr. Owner · (616) 241-4040
Enumeration DateJanuary 3, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1811975717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MI · 2301008451
Definition

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.

3138 BROADMOOR AVE SE, Kentwood, MI 49512

Other Identifiers 1

Medicaid4754106MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
3138 BROADMOOR AVE SE
KENTWOOD, MI 49512
Chiropractor
3138 BROADMOOR AVE SE
KENTWOOD, MI 49512
Chiropractor
3138 BROADMOOR AVE SE
KENTWOOD, MI 49512

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 Great Lakes Family Chiropractic, Inc.'s NPI number?

The NPI number for Great Lakes Family Chiropractic, Inc. is 1811975717. It was assigned to this organization in the NPPES registry on January 3, 2006.

Where is Great Lakes Family Chiropractic, Inc. located?

Great Lakes Family Chiropractic, Inc. is located at 3138 Broadmoor Ave SE, Kentwood, MI 49512. The listed phone number is (616) 241-4040.

What is Great Lakes Family Chiropractic, Inc.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

What insurance does Great Lakes Family Chiropractic, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Great Lakes Family Chiropractic, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Great Lakes Family Chiropractic, Inc. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.