Individual provider Active NPI

Christopher Kintz, DC

  • Chiropractor
  • Novi, MI
National Provider Identifier
1164438784
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CK008382 Issued in MI
Practice address
39915 Grand River Ave
Suite 750
Novi, MI 48375-2153
Phone
(248) 476-7775
Fax
(248) 476-7255
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CK008382 MI Primary

Addresses

Primary practice location

39915 Grand River Ave
Suite 750
Novi, MI 48375-2153

Mailing address

39915 Grand River Ave
Suite 750
Novi, MI 48375-2153
Phone (248) 476-7775

Other identifiers 1

IdentifierTypeStateIssuer
0F336810OtherMIBCBSM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
CK008382MIMDChiropractor
001445CTMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1164438784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39915 GRAND RIVER AVE",
            "address_2": "SUITE 750",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752153",
            "telephone_number": "248-476-7775",
            "fax_number": "248-476-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39915 GRAND RIVER AVE",
            "address_2": "SUITE 750",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752153",
            "telephone_number": "248-476-7775",
            "fax_number": "248-476-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINTZ",
        "first_name": "CHRISTOPHER",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "CK008382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0F336810",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.