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DR. JASON DAVID DETTWILER D.C.
NPI 1912199910
Chiropractor in Grand Rapids, MI

Active since August 14, 2007
1100 4 MILE RD NW, GRAND RAPIDS, MI 49544(616) 301-2225(616) 719-4593 Get Directions Write a Review

NPPES record last updated: August 14, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jason David Dettwiler D.c. NPPES

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

DR. JASON DAVID DETTWILER D.C. (NPI 1912199910) is an individual chiropractor in Grand Rapids, Michigan, licensed in Michigan (2301009340) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1912199910
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JASON DAVID DETTWILERCredential: D.C.
Location Address1100 4 MILE RD NWGrand Rapids, MI 49544-7397
Mailing Address1100 4 Mile Rd NwGrand Rapids, MI 49544-7397 · (616) 301-2225 · Fax (616) 719-4593
Phone(616) 301-2225
Fax(616) 719-4593
Sole ProprietorYes
Enumeration DateAugust 14, 2007
✔ NPI 1912199910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MI · 2301009340
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.
1100 4 MILE RD NW, Grand Rapids, MI 49544
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Other Identifiers 2

Medicare PIN35ZCGHZ
Medicare UPINU81298

Other Providers at the Same Location NPPES 7

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

DAVID C. GRUBER, DDS, MS, PC
Dentist (Endodontics)
1100 4 MILE RD NW, SUITE C
WALKER, MI 49544
Kent County (616) 784-5800
ADVANTAGE CHIROPRACTIC PC
Chiropractor
1100 4 MILE RD NW
GRAND RAPIDS, MI 49544
Kent County (616) 301-2225
DR. ROBERT WILLIAM VAN GEMERT DDS
Dentist (General Practice)
1100 4 MILE RD NW, SUITE D
WALKER, MI 49544
Kent County (616) 784-0274
SEVA DENTAL MICHIGAN PC
Dentist
1100 4 MILE RD NW
GRAND RAPIDS, MI 49544
Kent County (616) 784-6377
DR. ANDREW JAMES CYBULSKI DDS
Dentist
1100 4 MILE RD NW
GRAND RAPIDS, MI 49544
Kent County (616) 784-6377
DR. THOMAS J BURDO D.D.S.
Dentist (General Practice)
1100 4 MILE RD NW
GRAND RAPIDS, MI 49544
Kent County (616) 784-6377
DC HEALTHY LIVING CENTER
Chiropractor
1100 4 MILE RD NW, SUITE D
GRAND RAPIDS, MI 49544
Kent County (616) 301-2225

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 Jason Dettwiler's NPI number?

The NPI number for Jason Dettwiler is 1912199910. It was assigned to this individual provider in the NPPES registry on August 14, 2007.

Where is Jason Dettwiler located?

Jason Dettwiler practices at 1100 4 Mile Rd NW, Grand Rapids, MI 49544. The listed phone number is (616) 301-2225.

What is Jason Dettwiler'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 Jason Dettwiler was last updated on August 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.