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DYKSTRA CHIROPRACTIC PC
NPI 1952507626
Chiropractor in Grandville, MI

Active since June 21, 2007
4072 CHICAGO DR SW, GRANDVILLE, MI 49418(616) 531-6050(616) 531-6053 Get Directions Write a Review

NPPES record last updated: May 8, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 8, 2017, Mar 14, 2016 (2 updates tracked since 2016).

About Dykstra Chiropractic Pc NPPES

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

DYKSTRA CHIROPRACTIC PC (NPI 1952507626) is a healthcare organization registered as a chiropractor in Grandville, Michigan and active in the NPI registry since June 2007. The organization lists Ronda Lynn Vanderwall, Doctor Of Chiropractic, as its authorized official.

NPPES Registry Identity

NPI1952507626
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameDYKSTRA CHIROPRACTIC PC
Location Address4072 CHICAGO DR SWGrandville, MI 49418-1291
Mailing Address4072 Chicago Dr SwGrandville, MI 49418-1291 · (616) 531-6050 · Fax (616) 531-6053
Phone(616) 531-6050
Fax(616) 531-6053
Organization SubpartNo
Authorized OfficialRonda Lynn VanderwallDoctor Of Chiropractic · (616) 531-6050
Enumeration DateJune 21, 2007
Last NPPES UpdateMay 8, 20172 updates tracked since enumeration
✔ NPI 1952507626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in MI · 2301009329✔ Licensed in MI · 2301008861✔ Licensed in MI · 2301010292
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.
4072 CHICAGO DR SW, Grandville, MI 49418
Open in Google Maps ↗

Other Identifiers 2

Medicaid144842737MI
Medicare PINOP24290MI

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dykstra Chiropractic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dykstra Chiropractic PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ronda Vanderwall, DC
Chiropractic
NPI 1720107915
4072 CHICAGO DR SW
Grandville, MI 49418
(616) 531-6050
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dykstra Chiropractic PC's NPI number?

The NPI number for Dykstra Chiropractic PC is 1952507626. It was assigned to this organization in the NPPES registry on June 21, 2007.

Where is Dykstra Chiropractic PC located?

Dykstra Chiropractic PC is located at 4072 Chicago Dr SW, Grandville, MI 49418. The listed phone number is (616) 531-6050.

What is Dykstra Chiropractic PC's specialty?

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

Is Dykstra Chiropractic PC enrolled in Medicare?

Yes. Dykstra Chiropractic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dykstra Chiropractic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Dykstra Chiropractic PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dykstra Chiropractic PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Dykstra Chiropractic PC 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 Dykstra Chiropractic PC was last updated on May 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.