Prater Chiropractic Wellness Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

23010077517 Issued in MI

Legal business name

PRATER CHIROPRACTIC WELLNESS CENTER INC

Practice address

903 W South St
Kalamazoo, MI 49007-4661

Phone

(269) 343-5021

Fax

(269) 343-5022

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Daryl R PraterNPI 1629135199

Title

President

Phone

(269) 343-5021

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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

• Daryl R Prater, DC

  • Chiropractor
  • Kalamazoo, MI
  • NPI 1629135199
  Medicare reassignment NPD Authorized official
• Jaan Douma, D.C.

  • Chiropractor
  • Portage, MI
  • NPI 1912059668
  NPD (past)
• Carrie Theresa Sands, D.C.

  • Chiropractor
  • Kalamazoo, MI
  • NPI 1295747301
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114938693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 W SOUTH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490074661",
            "telephone_number": "269-343-5021",
            "fax_number": "269-343-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 W SOUTH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490074661",
            "telephone_number": "269-343-5021",
            "fax_number": "269-343-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRATER CHIROPRACTIC WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRATER",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-343-5021",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "23010077517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBA",
            "identifier": "4430153",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Jolie Praedel, LPC
• Clementine Niyonizeye Praise
• Prange Family Eyecare, LLC
• Harold T. Prange, O.D.
• Joseph Prano, D.O.
• Daryl R Prater, DC
• Heather Prater, OD
• Tanya Prather
• Alycia Pratt
• Andrew Pratt

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.