Wardell Chiropractic Family Health Center, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

KW007553 Issued in MI

Legal business name

WARDELL CHIROPRACTIC FAMILY HEALTH CENTER, P.C.

Practice address

28252 Ford Rd
Garden City, MI 48135-2927

Phone

(734) 421-4110

Fax

(734) 421-4116

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Dale Wardell, D.C.NPI 1649293135

Title

President

Phone

(734) 421-4110

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Kenneth Dale Wardell, D.C.

  • Chiropractor
  • Garden City, MI
  • NPI 1649293135
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316007909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28252 FORD RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352927",
            "telephone_number": "734-421-4110",
            "fax_number": "734-421-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28252 FORD RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352927",
            "telephone_number": "734-421-4110",
            "fax_number": "734-421-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARDELL CHIROPRACTIC FAMILY HEALTH CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARDELL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-421-4110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "KW007553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4310208",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Callie Waldrep
• Duha Waleed
• Walgreen Co
• Alissa Maria Walker
• Joseph L Walkiewicz, D.O.
• Kenneth Dale Wardell, D.C.
• Krzysztof Warszawski, M.D.
• Wayne County Physical Therapy LLC
• Wayne County Treasurer Payroll-County of Wayne
• Anna Rose Wegela, LMSW

• Chiropractor in Garden City, MI
• Providers in Garden City, MI by specialty
• Chiropractor in Michigan

• 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.

Verify at the official NPI Registry.