Individual provider Active NPI

Kate S Antoniotti, D.C.

  • Chiropractor
  • Kalamazoo, MI
National Provider Identifier
1003191362
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010165 Issued in MI
Practice address
1820 S Westnedge Ave
Suite 1
Kalamazoo, MI 49008-1998
Phone
(269) 344-5551
Fax
(269) 344-0094
NPI assigned
Oct 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002607A IN
Chiropractor 111N00000X 2301010165 MI Primary

Addresses

Primary practice location

1820 S Westnedge Ave
Suite 1
Kalamazoo, MI 49008-1998

Mailing address

1820 S Westnedge Ave
Suite 1
Kalamazoo, MI 49008-1998
Phone (269) 344-5551

Other identifiers 2

IdentifierTypeStateIssuer
201061610AMedicaidMI
201061610AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140424001731 MI Practitioner - Chiropractic 4486820347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002607AINMDChiropractor
2301010165MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Long Family Chiropractic Chiropractor CurrentSince Jul 7, 2025 Accepting new patients

Locations

1820 S Westnedge Ave
Ste 1
Kalamazoo, MI 49008
Phone (269) 344-5551

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1003191362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 S WESTNEDGE AVE",
            "address_2": "SUITE 1",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081998",
            "telephone_number": "269-344-5551",
            "fax_number": "269-344-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 S WESTNEDGE AVE",
            "address_2": "SUITE 1",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081998",
            "telephone_number": "269-344-5551",
            "fax_number": "269-344-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONIOTTI",
        "first_name": "KATE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002607A",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201061610A",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201061610A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.