Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Michaela Slater

Chiropractor β€’ Grand Rapids, MI

Active NPI 1265084958 Individual Practitioner Female Practitioner
Practice location in NPPES

751 Kenmoor Ave Se Ste H
Grand Rapids, MI 495462391

Call 6164667145 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

751 Kenmoor Ave Se Ste H

Grand Rapids, MI 495462391

Telephone 6164667145
Organization at the Same NPPES Address or Phone
Grand Wellness, Llc Facility NPI 1821465956

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Grand Rapids and Michigan

125 active clinicians are listed under Chiropractor with a practice address in Grand Rapids, MI (3,058 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Grand Rapids

0% of these 125 clinicians have the CMS telehealth indicator.

40% of these 125 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-12-18
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES MI 2301401663

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

16 Historical Events
πŸ“
Updated Practice Location December 18, 2025

Registered at 751 KENMOOR AVE SE STE H, GRAND RAPIDS, MI 495462391 (Tel: 6164667145)

πŸ“
Updated Business Mailing Address December 18, 2025

Registered at 751 KENMOOR AVE SE, GRAND RAPIDS, MI 495462388 (Tel: 6164664175)

πŸ‘€
Provider Name / Credentials Updated December 18, 2025

Recorded as MICHAELA SLATER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2025

Chiropractor (license number reported to NPPES: MI 2301401663)

πŸ”„
NPI Profile Reactivated November 19, 2025

Record officially reactivated for active practice on November 19, 2025

πŸ“
Updated Practice Location November 19, 2025

Registered at 2521 N ELMS RD, FLUSHING, MI 484339423 (Tel: 8104875521)

πŸ“
Updated Business Mailing Address November 19, 2025

Registered at 2521 N ELMS RD, FLUSHING, MI 484339423 (Tel: 8104875521)

πŸ‘€
Provider Name / Credentials Updated November 19, 2025

Recorded as MICHAELE SLATER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2025

Behavior Technician

⚠️
NPI Profile Deactivated August 20, 2025

NPPES lists this NPI as deactivated as of August 20, 2025; the reason is not published.

βœ…
NPI Profile Active July 12, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 12, 2019

Registered at 2521 N ELMS RD, FLUSHING, MI 484339423 (Tel: 8104875521)

πŸ“
Business Mailing Address (Initial Record) July 12, 2019

Registered at 2521 N ELMS RD, FLUSHING, MI 484339423 (Tel: 8104875521)

πŸ‘€
Provider Name / Credentials (Initial Record) July 12, 2019

Recorded as MICHAELE SLATER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2019

Behavior Technician

🟒
Initial NPI Registration & Enumeration July 12, 2019

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1265084958
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2019
Last Update: December 18, 2025
Sole Proprietor: No

Other Chiropractors in Grand Rapids

All Chiropractors in Grand Rapids

Mailing Address

751 Kenmoor Ave Se

Grand Rapids, MI 495462388

Phone: 6164664175

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.