Individual provider Active NPI

Thomas Kopsch, DC

  • Chiropractor
  • Lathrup Village, MI
National Provider Identifier
1154438018
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
TK005961 Issued in MI
Practice address
17600 W 11 Mile Rd Ste 1
Lathrup Village, MI 48076-4722
Phone
(248) 792-9736
Fax
(248) 593-3181
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X TK005961 MI Primary

Addresses

Primary practice location

17600 W 11 Mile Rd Ste 1
Lathrup Village, MI 48076-4722

Mailing address

17600 W 11 Mile Rd Ste 1
Lathrup Village, MI 48076-4722
Phone (248) 792-9736

Other practice location 1

31095 Tremont Ln
Beverly Hills, MI 48025-5101
Phone (248) 376-2722

Other identifiers 1

IdentifierTypeStateIssuer
4547620MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080515000604 MI Practitioner - Chiropractic 2668541715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

32268 Woodward Ave
Royal Oak, MI 48073-0944
Phone (248) 549-0140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TK005961MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tom Kopsch & Associates,Inc Chiropractor CurrentSince Jul 1, 1998 Accepting new patients

Locations

17600 W 11 Mile Rd
Ste 1
Lathrup Village, MI 48076

32268 Woodward Ave
Royal Oak, MI 48073
Phone (248) 549-0140

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1154438018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17600 W 11 MILE RD STE 1",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480764722",
            "telephone_number": "248-792-9736",
            "fax_number": "248-593-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17600 W 11 MILE RD STE 1",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480764722",
            "telephone_number": "248-792-9736",
            "fax_number": "248-593-3181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31095 Tremont Ln",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "MI",
            "postal_code": "480255101",
            "country_code": "US",
            "telephone_number": "248-376-2722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOPSCH",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "TK005961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4547620",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lathrup Village, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.