Organization Active NPI

Rogue Health and Wellness LLC

Doing business as Rogue Chiropractic

  • Chiropractor
  • Rockford, MI
National Provider Identifier
1114593043
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ROGUE HEALTH AND WELLNESS LLC
Doing business as
Rogue Chiropractic
Practice address
6070 Greeley Ave NE
Rockford, MI 49341-8060
Phone
(616) 202-6435
NPI assigned
Jun 1, 2021
Last updated
Jun 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Authorized official

Name
Courtney Klawieter, DCNPI 1245868413
Title
Co-Owner
Phone
(616) 202-6435

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

6070 Greeley Ave NE
Rockford, MI 49341-8060

Mailing address

6070 Greeley Ave NE
Rockford, MI 49341-8060
Phone (616) 202-6435

Other names 1

  • Rogue Chiropractic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Info@roguechirogr.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1114593043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6070 GREELEY AVE NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493418060",
            "telephone_number": "616-202-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6070 GREELEY AVE NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493418060",
            "telephone_number": "616-202-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGUE HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "KLAWIETER",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "616-202-6435",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@roguechirogr.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6070 Greeley Ave NE",
            "city": "Rockford",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493418060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rogue Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.