Organization Active NPI

Forever Oak Health Center, PLC.

  • Chiropractor
  • Bloomfield Hills, MI
National Provider Identifier
1285247668
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FOREVER OAK HEALTH CENTER, PLC.
Practice address
2520 S Telegraph Rd Ste 107
Bloomfield Hills, MI 48302-0203
Phone
(248) 907-0887
Fax
(248) 907-0886
NPI assigned
Aug 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Authorized official

Name
Dr. Mike Kozlowski, DC
Title
President
Phone
(214) 284-0782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2520 S Telegraph Rd Ste 107
Bloomfield Hills, MI 48302-0203

Mailing address

2520 S Telegraph Rd Ste 107
Bloomfield Hills, MI 48302-0203
Phone (248) 907-0887

Other names 1

  • Forever Oak Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201015000240 MI Part B Supplier - Clinic/Group Practice 2062832983 Receives reassigned benefits from 1 practitioner
Practice locations: Bloomfield Hills, MI

National Provider Directory

National Provider Directory

Locations

2520 S Telegraph Rd
Ste 107
Bloomfield Hills, MI 48302
Phone (248) 745-1800

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1285247668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 S TELEGRAPH RD STE 107",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020203",
            "telephone_number": "248-907-0887",
            "fax_number": "248-907-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 S TELEGRAPH RD STE 107",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020203",
            "telephone_number": "248-907-0887",
            "fax_number": "248-907-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER OAK HEALTH CENTER, PLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "KOZLOWSKI",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-284-0782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forever Oak Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.