Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477515443 Individual Practitioner Male Practitioner

Dr. Ray Christian Van De Walker , DC

Chiropractor • Portage, MI

Professional Overview & Biography Verified Profile Summary

Dr. Ray Van De Walker, DC is a registered healthcare professional specializing in Chiropractor in Portage, MI. Practice services are available at 1112 E CENTRE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1112 E Centre Ave
Suite C

Portage, MI 490025575

Telephone 2699783000
Fax 2699783001
Associated Practice Facility / Clinic
🏢 Portage Family Dentistry Pllc Facility NPI 1407493760

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Portage, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.8 Yrs
State Avg: 22.9 Yrs
Regional Practice Density
25 Specialists

Practicing in Portage, MI (3252 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License MI 2301008479

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross
950C95062 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1881926921

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1112 E CENTRE AVE, SUITE C, PORTAGE, MI 490025575 (Tel: 2699783000)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1112 E CENTRE AVE, SUITE C, PORTAGE, MI 490025575 (Tel: 2699783000)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RAY VAN DE WALKER, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #2301008479 in MI)

🟢
Initial NPI Registration & Enumeration April 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477515443
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

1112 E Centre Ave, Suite C

Portage, MI 490025575

Phone: 2699783000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.