✓ Licensed & Credentialed Chiropractic Providers — Chiropractor (111N00000X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

WAYNE GARTH AAMODT, D.C. (NPI #1710975370)

Chiropractor • GRAND RAPIDS, MI • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1710975370
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
111N00000X (CMS 35)
Licensed & Credentialed Chiropractic Providers — Chiropractor
Box 32 Service Location & ZIP+4
1805 44TH ST SE, GRAND RAPIDS, MI, 49508-5005
✓ 9-Digit EDI 837 ZIP+4 (49508-5005)
Practice Phone & Referral Fax
Fax: (616) 455-4201
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1710975370 (WAYNE GARTH AAMODT, D.C.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1710975370 (NPI-1 Individual Practitioner)
Provider / Legal NameWAYNE GARTH AAMODT, D.C.
Plain-English SpecialtyLicensed & Credentialed Chiropractic Providers — Chiropractor
NUCC Code: 111N00000X (Chiropractor)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address1805 44TH ST SE, GRAND RAPIDS, MI, 49508-5005
Practice Telephone / FaxTel: (616) 455-4200 | Fax: (616) 455-4201
Administrative Mailing Address1805 44TH ST SE, GRAND RAPIDS, MI, 49508-5005
Enumeration & Last SyncEnumerated: 2005-10-07 | CMS Record Updated: 2026-07-13

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1805 44TH ST SE, GRAND RAPIDS, MI, 49508-5005

🗺️ Open in Google Maps 🏥 More Providers in GRAND RAPIDS

Plain-English Taxonomy & CMS Crosswalk (111N00000X)

What Does Taxonomy Code 111N00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 111N00000X translates to:
"Licensed & Credentialed Chiropractic Providers — Chiropractor"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 35 (Chiropractic)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Chiropractor for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (WAYNE GARTH AAMODT, D.C.)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
111N00000X — Chiropractor
Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor
State: MI | License: 2301004756 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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