Active NPI
Kevin M Karadeema, D.C.
- Chiropractor
- Taylor, MI
National Provider Identifier
1124089339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4356
- Practice address
- 22908 Wick Rd
Suite B
Taylor, MI 48180-3589 - Phone
- (313) 295-7760
- NPI assigned
- Mar 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4356 | AZ | Primary |
| Chiropractor | 111N00000X | KKOO5272 | MI |
Addresses
Primary practice location
22908 Wick Rd
Suite B
Taylor, MI 48180-3589
Mailing address
22908 Wick Rd
Suite B
Taylor, MI 48180-3589
Phone (313) 295-7760
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2736548 | Medicaid | MI | |
| 95OH25311 | Other | MI | PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
22908 Wick Rd
Suite B
Taylor, MI 48180-3588
Phone (313) 295-7760
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KKOO5272 | MI | MD | Chiropractor |
| 4356 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kevin M Karadeema DC PC | Chiropractor | Current | Accepting new patients |
Locations
22908 Wick Rd
Ste B
Taylor, MI 48180
Phone (313) 295-7760
22908 Wick Rd
Taylor, MI 48180
Phone (313) 295-2660
Organizations & group practices 1
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
- Taylor, MI
- NPI 1457399040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581033600000",
"number": "1124089339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22908 WICK RD",
"address_2": "SUITE B",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481803589",
"telephone_number": "313-295-7760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22908 WICK RD",
"address_2": "SUITE B",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481803589",
"telephone_number": "313-295-7760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARADEEMA",
"first_name": "KEVIN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2020-02-07",
"certification_date": "2020-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "4356",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "KKOO5272",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2736548",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER ID",
"identifier": "95OH25311",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Taylor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.