OrganizationActive
Obsidian Chiropractic, LLC
NPI 1154967651 · Clinic/Center · Grand Rapids, MI
Obsidian Chiropractic, LLC is a Clinic/Center organization in Grand Rapids, MI (NPI 1154967651).
Provider details
- NPI number
- 1154967651
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charles Austin, Owner(850) 218-0677
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
2504 Ardmore St Se Ste 102
Grand Rapids, MI 49506-4901
Phone: (850) 218-0677
Street-level locationGet directions
Mailing address
319 Lyon St Ne Apt 1
Grand Rapids, MI 49503-3381
Registry dates
- Enumerated
- 2019-11-20
- Last updated
- 2019-11-20
Frequently asked questions
- What is Obsidian Chiropractic, LLC's NPI number?
- Obsidian Chiropractic, LLC's National Provider Identifier (NPI) is 1154967651, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Obsidian Chiropractic, LLC?
- Obsidian Chiropractic, LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Obsidian Chiropractic, LLC located?
- Obsidian Chiropractic, LLC's practice location on file with NPPES is 2504 Ardmore St Se Ste 102, Grand Rapids, MI 49506-4901.
- What is Obsidian Chiropractic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Obsidian Chiropractic, LLC is (850) 218-0677.
- Who is the authorized official for Obsidian Chiropractic, LLC?
- The authorized official listed on Obsidian Chiropractic, LLC's NPPES record is Charles Austin, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Obsidian Chiropractic, LLC's NPI active?
- Yes — Obsidian Chiropractic, LLC's NPI (1154967651) is active in the NPPES registry as of the last update on 2019-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.