Theodore M. Koukles DC PC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

Legal business name

THEODORE M. KOUKLES DC PC

Practice address

44777 Hayes Rd Ste a
Sterling Heights, MI 48313-1421

Phone

(586) 876-3737

NPI assigned

Jul 15, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Theodore Michael Koukles, DC CCSP

Title

President/Chiropractor

Phone

(586) 876-3737

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rachel Emma Marr, DC

  • Chiropractor
  • Rochester Hills, MI
  • NPI 1780215798
  NPD
• Nicholas Palladinelli, DC

  • Chiropractor
  • Sterling Heights, MI
  • NPI 1497319172
  NPD

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1326690728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44777 HAYES RD STE A",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131421",
            "telephone_number": "586-876-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44777 HAYES RD STE A",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131421",
            "telephone_number": "586-876-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE M. KOUKLES DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "KOUKLES",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "586-876-3737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC CCSP"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Physician Chiropractor in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Sports Physician Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.