DR. CHARLES JUSTIN AUSTIN (NPI# 1760959084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760959084 |
Entity Type | Individual |
Full Name | DR. CHARLES JUSTIN AUSTIN |
Credential | DC |
Practice Address |
2504 Ardmore St Se Grand Rapids MI 49506-4901 |
Mailing Address |
319 Lyon St Ne Apt 1 Grand Rapids MI 49503-3381 |
Practice Telephone | 8502180677 |
Mailing Telephone | 8502180677 |
Enumeration Date | 2018-10-24 |
Last Update Date | 2019-11-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2301010831 | MI | Chiropractic Providers |
N | 111N00000X | Chiropractor | CH12368 | FL | Chiropractic Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225410962 | Charles Austin | Pharmacist | 1585 3rd St, Fort Polk, LA 71459-5102 | 2015-06-18 |
1932294873 | Charles K Austin | Nurse Anesthetist, Certified Registered | 1440 N Main St, Spearfish, SD 57783 | 2006-10-04 |
1598862047 | Charles Windell Austin | Occupational Therapist | 2200 Fort Roots Drive, North Little Rock, AR 72114 | 2006-09-19 |
1508885518 | Charles Eugene Austin | Counselor | Cmr 402, Apo, RHINELAND PLAZ 09180 | 2006-07-19 |
1205879590 | Charles Ike Austin | Family Medicine | 205 E Toronto Ave, Mcallen, TX 78503-1209 | 2006-06-14 |
1700840899 | Charles W. Austin | Radiology | 444 Montgomery St, Chicopee, MA 01020-1969 | 2006-04-14 |
1225024391 | Charles Baldrey Austin Jr. | Radiology | 629d Lowther Rd, Lewisberry, PA 17339-9527 | 2005-09-23 |
Street Address |
2504 ARDMORE ST SE |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49506-4901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
Find all providers in zip 49506 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114532835 | Pro-active Chiropractic Wellness of Grand Rapids | Chiropractor | 4270 Plainfield Ave Ne # E, Grand Rapids, MI 49525-1603 | 2020-09-10 |
1942823695 | Seth Andrew Leali | Chiropractor | 610 Maryland Ave Ne Ste B, Grand Rapids, MI 49505-6052 | 2020-05-28 |
1043833213 | Christopher Carl Netley | Chiropractor | 2020 Raybrook St Se Ste 204-d, Grand Rapids, MI 49546-7717 | 2020-05-22 |
1477185312 | 100 Percent Chiropractic Santos, LLC | Chiropractor | 2321 E Beltline Ave Ne Ste D, Grand Rapids, MI 49525-9803 | 2020-02-09 |
1164087052 | Zachary David Nelson | Chiropractor | 11279 Tallmadge Woods Dr Nw, Grand Rapids, MI 49534-6318 | 2019-05-06 |
1568959211 | Northside Chiropractic LLC | Chiropractor | 2221 Plainfield Ave Ne Ste 109, Grand Rapids, MI 49505-4215 | 2018-04-18 |
1831694983 | Connor Wade Knapp | Chiropractor | 6807 Cascade Rd Se Ste D, Grand Rapids, MI 49546-8722 | 2018-03-29 |
1528587524 | Melissa Thomas | Chiropractor | 4150 E Beltline Ave Ne Ste 3, Grand Rapids, MI 49525-9316 | 2017-09-12 |
1619497336 | Safina Ngandu | Chiropractor | 2180 44th St Se Ste 209, Grand Rapids, MI 49508-5305 | 2017-06-23 |
1083142939 | Ann M Bishop | Chiropractor | 1430 Robinson Rd Se Ste 201, Grand Rapids, MI 49506-1780 | 2017-05-23 |
Find all providers in GRAND RAPIDS |
City | GRAND RAPIDS |
Zip Code | 49506 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.