Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kodie Blain, DC

Individual provider Chiropractor · NPI 1073351052

Kodie Blain, DC is a Chiropractic in Grand Rapids, Michigan. Qualified in 2024, 2 years ago. Practices with Peak Performance Integrated Medicine PLC, a 5-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2024
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

4150 E Beltline Ave NE Ste 3
Grand Rapids, MI 49525-9316
Phone: (616) 447-9888
Fax: (616) 447-9886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 2301401549 (MI)

Record details

NPI number1073351052
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedJuly 16, 2024
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024
Mailing address4150 E Beltline Ave Ne Ste 3, Grand Rapids, MI 49525-9316

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Peak Performance Integrated Medicine Plc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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