John Michael Kowalczyk, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301008378 Issued in MI

Practice address

4702 James Savage Rd
Midland, MI 48642-6527

Phone

(989) 495-9003

Fax

(989) 495-9003

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Balanced Living Chiropractic PLLC

  • Chiropractor
  • Midland, MI
  • NPI 1043402365
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1043346653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4702 JAMES SAVAGE RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486426527",
            "telephone_number": "989-495-9003",
            "fax_number": "989-495-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702 JAMES SAVAGE RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486426527",
            "telephone_number": "989-495-9003",
            "fax_number": "989-495-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALCZYK",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD OF  MICHIGAN",
            "identifier": "95-0-E6-1183-0",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathie Koski, PTA
• Joseph W Kosnik, M.D.
• Rajesh Kotecha, MD
• Bree Koutz
• Barbara Kovalchik, ARNP RN
• Amy Rae Kramer, LMSW
• Holly Beth Kramer
• Kassandra Kramer
• Melissa Kramer, NP
• Shawn Kramer I

• Chiropractor in Midland, MI
• Providers in Midland, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.