Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Haven Spine & Pain Center Pllc

Interventional Pain Medicine Physician in Grand Rapids, MI · enumerated 2021 · authorized official Jack Dillon, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053901314

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Registry record

Entity type Organization (Type 2)

Legal business name Haven Spine & Pain Center Pllc

Practice address 2680 Leonard St Ne Ste 3, Grand Rapids, MI, 49525

Phone (616) 364-4200

Fax (616) 364-7347

Enumeration date Jan 21, 2021

Last updated in NPPES Dec 9, 2021

Taxonomy & classification

207LP2900X Pain Medicine (Anesthesiology) Physician Allopathic & Osteopathic Physicians Secondary

208VP0000X Pain Medicine Physician Allopathic & Osteopathic Physicians Secondary

208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jack Dillon

Title Executive Director

Phone (312) 505-1033

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Haven Spine & Pain Center Pllc located?

The practice location on file with NPPES is in Grand Rapids, MI.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-12-09. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-12-09.