Active NPI
Axis Chiropractic P.C.
- Chiropractor
- Marquette, MI
National Provider Identifier
1154548907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- BK008347
- 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.
- 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.
-
- Chiropractor
- Marquette, MI
- NPI 1962407403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060501000261 | MI | Part B Supplier - Clinic/Group Practice | 8426068842 |
Receives reassigned benefits from 1 practitioner Practice locations: Marquette, MI |
National Provider Directory
National Provider DirectoryLocations
1300 W Ridge St
Ste 1
Marquette, MI 49855
Phone (906) 226-3663
Interoperability endpoints
- bjk0629@acp0008.direct.chirotouch.md
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | BK008347 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary 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.