GERALD B KOOISTRA DC
NPI 1881680403
Chiropractor in Wyoming, MI

Active since September 20, 2005
2855 BYRON CENTER AVE SW, WYOMING, MI 49519(616) 532-2518(616) 532-2696 Get Directions Write a Review

NPPES record last updated: September 11, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gerald B Kooistra Dc NPPES

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

GERALD B KOOISTRA DC (NPI 1881680403) is an individual chiropractor in Wyoming, Michigan, licensed in Michigan (GK001962) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1881680403
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameGERALD B KOOISTRACredential: DC
Location Address2855 BYRON CENTER AVE SWWyoming, MI 49519-2415
Mailing Address2855 Byron Center Ave SwWyoming, MI 49519-2415 · (616) 532-2518 · Fax (616) 532-2696
Fax(616) 532-2696
Sole ProprietorYes
Enumeration DateSeptember 20, 2005
Last NPPES UpdateSeptember 11, 2009
NPI 1881680403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MI · GK001962
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.
2855 BYRON CENTER AVE SW, Wyoming, MI 49519

Other Identifiers 3

Medicare UPINT32989
Medicaid1005146MI
Other950D150290Bcbs

Other Providers at the Same Location NPPES 5

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

Chiropractor
2855 BYRON CENTER AVE SW
WYOMING, MI 49519
Chiropractor
2855 BYRON CENTER AVE SW
WYOMING, MI 49519
Chiropractor
2855 BYRON CENTER AVE SW
WYOMING, MI 49519
Chiropractor
2855 BYRON CENTER AVE SW
WYOMING, MI 49519
Chiropractor
2855 BYRON CENTER AVE SW
WYOMING, MI 49519

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 Gerald Kooistra's NPI number?

The NPI number for Gerald Kooistra is 1881680403. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Gerald Kooistra located?

Gerald Kooistra practices at 2855 Byron Center Ave SW, Wyoming, MI 49519. The listed phone number is (616) 532-2518.

What is Gerald Kooistra's specialty?

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

When was this NPI record last updated?

The NPPES record for Gerald Kooistra was last updated on September 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.