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STANDALE CHIROPRACTIC PC
NPI 1922301274
Chiropractor in Grand Rapids, MI

Active since December 08, 2010
4110 LAKE MICHIGAN DR NW, GRAND RAPIDS, MI 49534(616) 453-3404(616) 453-3418 Get Directions Write a Review

NPPES record last updated: January 28, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Standale Chiropractic Pc NPPES

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

STANDALE CHIROPRACTIC PC (NPI 1922301274) is a healthcare organization registered as a chiropractor in Grand Rapids, Michigan and active in the NPI registry since December 2010. The organization lists Brandon J Berg, Physician, as its authorized official.

NPPES Registry Identity

NPI1922301274
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSTANDALE CHIROPRACTIC PC
Location Address4110 LAKE MICHIGAN DR NWGrand Rapids, MI 49534-4527
Mailing Address4310 Leonard St Nw, Suite 103Walker, MI 49534-8447 · (616) 453-6329 · Fax (616) 453-1725
Phone(616) 453-3404
Fax(616) 453-3418
Organization SubpartNo
Authorized OfficialBrandon J BergPhysician · (616) 453-3404
Enumeration DateDecember 8, 2010
Last NPPES UpdateJanuary 28, 2014
✔ NPI 1922301274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MI · 2301009732
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.
4110 LAKE MICHIGAN DR NW, Grand Rapids, MI 49534
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

DR. BRANDON J BERG DC
Chiropractor
4110 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49534
Ottawa County (616) 453-3404
DAVID R FELTON
Chiropractor
4110 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49534
Ottawa County (616) 453-3404
MR. DAVID ROBERT FELTON DC
Chiropractor
4110 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49534
Ottawa County (616) 453-3404

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 Standale Chiropractic PC's NPI number?

The NPI number for Standale Chiropractic PC is 1922301274. It was assigned to this organization in the NPPES registry on December 8, 2010.

Where is Standale Chiropractic PC located?

Standale Chiropractic PC is located at 4110 Lake Michigan Dr NW, Grand Rapids, MI 49534. The listed phone number is (616) 453-3404.

What is Standale Chiropractic PC'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 Standale Chiropractic PC was last updated on January 28, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.