Individual provider Active NPI

Courtney Klawieter

  • Chiropractor
  • Rockford, MI
National Provider Identifier
1245868413
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010937 Issued in MI
Practice address
6070 Greeley Ave NE
Rockford, MI 49341-8060
Phone
(616) 202-6435
NPI assigned
Apr 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010937 MI Primary

Addresses

Primary practice location

6070 Greeley Ave NE
Rockford, MI 49341-8060

Mailing address

6070 Greeley Ave NE
Rockford, MI 49341-8060

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301010937MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rogue Health and Wellness LLC Chiropractor CurrentSince Jun 6, 2021 Accepting new patients
Chirohealth and Wellness PLC Chiropractor PastSince Dec 1, 2020 Accepting new patients

Organizations & group practices 2

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": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1245868413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6070 GREELEY AVE NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493418060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6070 GREELEY AVE NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493418060",
            "telephone_number": "616-202-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAWIETER",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.