Individual provider Active NPI

Kinan M Abdul Baki, D.C.

  • Chiropractor
  • Canton, MI
National Provider Identifier
1215634944
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301401394 Issued in MI
Practice address
6231 N Canton Center Rd Ste 109
Canton, MI 48187-2692
Phone
(734) 455-6767
NPI assigned
Feb 13, 2023
Last updated
Feb 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301401394 MI Primary

Addresses

Primary practice location

6231 N Canton Center Rd Ste 109
Canton, MI 48187-2692

Mailing address

14618 Loveland St
Livonia, MI 48154-3532
Phone (248) 982-1268

Other names 1

  • Kinan M Abdulbaki Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230217001279 MI Practitioner - Chiropractic 8628440757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert Edward Potter Jr DC PLLCGroup PAC ID 3476562059, 5 clinicians

Practice addresses (Care Compare)

6231 N Canton Ctr Rd
109 Canton Center Chiropractic Clinic
Canton, MI 48187-2692
Phone (734) 455-6767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Edward Potter Jr DC PLLC Chiropractor CurrentSince Feb 13, 2023 Accepting new patients

Locations

6231 N Canton Center Rd
Canton, MI 48187
Phone (734) 455-6767

6231 N Canton Center Rd
Ste 109
Canton, MI 48187
Phone (734) 455-6767

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1215634944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14618 LOVELAND ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543532",
            "telephone_number": "248-982-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6231 N CANTON CENTER RD STE 109",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872692",
            "telephone_number": "734-455-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDUL BAKI",
        "first_name": "KINAN",
        "middle_name": "M",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KINAN",
            "last_name": "ABDULBAKI",
            "middle_name": "M",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.