Haven Spine & Pain Center PLLC
NPI 1053901314 · Interventional Pain Medicine Physician · Grand Rapids, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Haven Spine & Pain Center PLLC is a Interventional Pain Medicine Physician organization in Grand Rapids, MI (NPI 1053901314).
Provider details
- NPI number
- 1053901314
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jack Dillon, Executive Director(312) 505-1033
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pain Medicine (Anesthesiology) Physician207LP2900X
Allopathic & Osteopathic Physicians
- Pain Medicine Physician208VP0000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-01-21
- Last updated
- 2021-12-09
- Certified
- 2021-12-09
Frequently asked questions
- What is Haven Spine & Pain Center PLLC's NPI number?
- Haven Spine & Pain Center PLLC's National Provider Identifier (NPI) is 1053901314, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Haven Spine & Pain Center PLLC?
- Haven Spine & Pain Center PLLC is classified in the NPPES registry as Interventional Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Haven Spine & Pain Center PLLC located?
- Haven Spine & Pain Center PLLC's practice location on file with NPPES is 2680 Leonard St Ne Ste 3, Grand Rapids, MI 49525-6902.
- What is Haven Spine & Pain Center PLLC's phone number?
- The practice phone number listed in the NPPES registry for Haven Spine & Pain Center PLLC is (616) 364-4200.
- Does Haven Spine & Pain Center PLLC accept Medicare?
- Haven Spine & Pain Center PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Haven Spine & Pain Center PLLC?
- The authorized official listed on Haven Spine & Pain Center PLLC's NPPES record is Jack Dillon, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Haven Spine & Pain Center PLLC's NPI active?
- Yes — Haven Spine & Pain Center PLLC's NPI (1053901314) is active in the NPPES registry as of the last update on 2021-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.