DR. MICHAEL T BURCON (NPI# 1992702542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992702542 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL T BURCON |
| Credential | D.C. |
| Practice Address |
3501 Lake Eastbrook Blvd Se Suite 252 Grand Rapids MI 49546-5938 |
| Practice Telephone | 6165759990 |
| Practice Fax Number | 6165759995 |
| Mailing Telephone | 6165759990 |
| Mailing Fax Number | 6165759995 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2013-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301007711 | MI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4126753 | 05 | |
| MI | BLUE CROSS | 950D151480 | 01 |
| Street Address |
3501 LAKE EASTBROOK BLVD SE SUITE 252 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-5938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057778 | Pathways Counseling and Therapy | Social Worker | 3501 Lake Eastbrook Blvd Se, Grand Rapids, MI 49546-5938 | 2019-08-08 |
| 1679938310 | Sean W Harrell | Psychologist | 3501 Lake Eastbrook Blvd Se, Ste 280, Grand Rapids, MI 49546 | 2015-12-23 |
| 1699146134 | Grand Rapids Therapy Pllc | Social Worker | 3501 Lake Eastbrook Blvd Se, Ste 280, Grand Rapids, MI 49546-5938 | 2015-10-09 |
| 1215317607 | Julia A Mcintire | Counselor | 3501 Lake Eastbrook Blvd Se, Suite 106, Grand Rapids, MI 49546-5938 | 2015-06-01 |
| 1164849147 | David Brian Moore | Social Worker | 3501 Lake Eastbrook Blvd Se, Suite 258, Grand Rapids, MI 49546-5938 | 2014-03-27 |
| 1417371337 | Khalia Renita Twork | Counselor | 3501 Lake Eastbrook Blvd Se, Suite 258, Grand Rapids, MI 49546-5938 | 2014-02-12 |
| 1184054652 | Adolescent and Family Behavioral Health Services | Psychologist | 3501 Lake Eastbrook Blvd Se, #258, Grand Rapids, MI 49546-5938 | 2013-11-20 |
| 1598097958 | Miguel Ricardo Quintanilla | Social Worker | 3501 Lake Eastbrook Blvd Se, #258, Grand Rapids, MI 49546-5938 | 2010-02-09 |
| 1689805707 | Lisa Cheryl Townsend | Counselor | 3501 Lake Eastbrook Blvd Se, Suite 110, Grand Rapids, MI 49546-5938 | 2009-08-06 |
| 1770761850 | Judith Ellen Snow | Psychologist | 3501 Lake Eastbrook Blvd Se, Suite 146, Grand Rapids, MI 49546-5938 | 2008-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| 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 |
| 1760959084 | Charles Justin Austin | Chiropractor | 2504 Ardmore St Se, Grand Rapids, MI 49506-4901 | 2018-10-24 |
| 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 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on DR. MICHAEL T BURCON.
| 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.