Active NPI
Kevin David Worley
- Chiropractor
- Shelby Township, MI
National Provider Identifier
1114516804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301011044
- Practice address
- 2061 25 Mile Rd
Shelby Township, MI 48316-0941 - Phone
- (248) 710-3236
- NPI assigned
- Jan 16, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301011044 | MI | Primary |
Addresses
Primary practice location
2061 25 Mile Rd
Shelby Township, MI 48316-0941
Mailing address
2344 Winston Dr
Sterling Heights, MI 48310-5840
Phone (574) 612-8282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Health Systems Inc | Current | Accepting new patients | |
| Total Health Systems Inc | Chiropractor | Current | Accepting new patients |
Locations
26672 Van Dyke Ave
Center Line, MI 48015
Phone (586) 716-8485
43740 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 228-0270
Interoperability endpoints
- kworley938792@direct.hfhs.org
Organizations & group practices 2
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.
-
- Chiropractor
- Clinton TWP, MI
- NPI 1689705964
-
- General Practice Physician
- Clinton TWP, MI
- NPI 1265564900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610755200000",
"number": "1114516804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2344 WINSTON DR",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483105840",
"telephone_number": "574-612-8282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2061 25 MILE RD",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483160941",
"telephone_number": "248-710-3236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORLEY",
"first_name": "KEVIN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-16",
"last_updated": "2021-01-16",
"certification_date": "2021-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301011044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2021; 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.