Organization Active NPI

Kern Chiropractic Center

  • Chiropractor
  • Marine City, MI
National Provider Identifier
1114917457
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
SK005582 Issued in MI
Legal business name
KERN CHIROPRACTIC CENTER
Practice address
260 S Parker St
Marine City, MI 48039-3502
Phone
(810) 765-9700
Fax
(810) 765-5825
NPI assigned
Oct 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Authorized official

Name
Dr. Steven A Kern, D.C.
Title
President
Phone
(810) 765-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X SK005582 MI Primary

Addresses

Primary practice location

260 S Parker St
Marine City, MI 48039-3502

Mailing address

260 S Parker St
Marine City, MI 48039-3502
Phone (810) 765-9700

Other identifiers 2

IdentifierTypeStateIssuer
2722005MedicaidMI
950G410370OtherMIBLUE CROSS

National Provider Directory

National Provider Directory

Locations

25319 Van Dyke Ave
Center Line, MI 48015
Phone (586) 758-7027

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1114917457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 S PARKER ST",
            "city": "MARINE CITY",
            "state": "MI",
            "postal_code": "480393502",
            "telephone_number": "810-765-9700",
            "fax_number": "810-765-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S PARKER ST",
            "city": "MARINE CITY",
            "state": "MI",
            "postal_code": "480393502",
            "telephone_number": "810-765-9700",
            "fax_number": "810-765-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERN CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-765-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "SK005582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2722005",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "950G410370",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marine City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.