Organization Active NPI

Axis Chiropractic P.C.

  • Chiropractor
  • Marquette, MI
National Provider Identifier
1154548907
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
BK008347 Issued in MI
Legal business name
AXIS CHIROPRACTIC P.C.
Practice address
1300 W Ridge St
Suite 1
Marquette, MI 49855-3194
Phone
(906) 226-3663
Fax
(906) 226-2956
NPI assigned
Apr 20, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Brian J Kulbieda, D.C.NPI 1962407403
Title
President
Phone
(906) 226-3663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20060501000261 MI Part B Supplier - Clinic/Group Practice 8426068842 Receives reassigned benefits from 1 practitioner
Practice locations: Marquette, MI

National Provider Directory

National Provider Directory

Locations

1300 W Ridge St
Ste 1
Marquette, MI 49855
Phone (906) 226-3663

Interoperability endpoints

  • Direct secure messaging: bjk0629@acp0008.direct.chirotouch.md

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X BK008347 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

1300 W Ridge St
Suite 1
Marquette, MI 49855-3194

Mailing address

1300 W Ridge St
Suite 1
Marquette, MI 49855-3194
Phone (906) 226-3663

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154548907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W RIDGE ST",
            "address_2": "SUITE 1",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553194",
            "telephone_number": "906-226-3663",
            "fax_number": "906-226-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W RIDGE ST",
            "address_2": "SUITE 1",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553194",
            "telephone_number": "906-226-3663",
            "fax_number": "906-226-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KULBIEDA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "906-226-3663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "BK008347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

  • 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.