Individual provider Active NPI

Erik Kowalke, D.C.

  • Chiropractor
  • Wyoming, MI
National Provider Identifier
1124318183
Registry record updated May 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009810 Issued in MI
Practice address
1021 Gezon Pkwy SW
Wyoming, MI 49509-9542
Phone
(616) 401-2803
NPI assigned
Apr 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009810 MI Primary
Pediatric Chiropractor 111NP0017X 2301009810 MI
Rehabilitation Chiropractor 111NR0400X 2301009810 MI

Addresses

Primary practice location

1021 Gezon Pkwy SW
Wyoming, MI 49509-9542

Mailing address

5298 Palmair Dr SW
Wyoming, MI 49418-9300
Phone (616) 401-2803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110610000665 MI Practitioner - Chiropractic 7810174265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Higher Health Chiropractic IncGroup PAC ID 0840428769, 5 clinicians

Practice addresses (Care Compare)

1027 Gezon Pkwy SW
Wyoming, MI 49509-9542
Phone (616) 301-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301009810MIMDPediatric Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Higher Health Chiropractic Inc Chiropractor CurrentSince Oct 22, 2013 Accepting new patients

Locations

180 Baldwin St
Ste 101
Jenison, MI 49428
Phone (616) 574-2871

1027 Gezon Pkwy SW
Wyoming, MI 49509
Phone (616) 301-4961

1021 Gezon Pkwy SW
Wyoming, MI 49509
Phone (616) 301-8300

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.

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306108800000",
    "number": "1124318183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5298 PALMAIR DR SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "494189300",
            "telephone_number": "616-401-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 GEZON PKWY SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495099542",
            "telephone_number": "616-401-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALKE",
        "first_name": "ERIK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009810",
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "MI",
            "license": "2301009810",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MI",
            "license": "2301009810",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; 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.

Verify at the official NPI Registry.