Organization Active NPI

Ket Chiropractic Center P.C.

Doing business as Chiropractic Performance Solutions

  • Chiropractor
  • Novi, MI
National Provider Identifier
1356407209
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
KT007062 Issued in MI
Legal business name
KET CHIROPRACTIC CENTER P.C.
Doing business as
Chiropractic Performance Solutions
Practice address
24120 Meadowbrook Rd
Suite 200
Novi, MI 48375-3407
Phone
(248) 477-2100
Fax
(248) 477-8820
NPI assigned
Dec 28, 2006
Last updated
Oct 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Authorized official

Name
Dr. Karl E Tarkanyi, D.C.NPI 1841296738
Title
President
Phone
(248) 477-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X KT007062 MI Primary

Addresses

Primary practice location

24120 Meadowbrook Rd
Suite 200
Novi, MI 48375-3407

Mailing address

24120 Meadowbrook Rd
Suite 200
Novi, MI 48375-3407
Phone (248) 477-2100

Other identifiers 5

IdentifierTypeStateIssuer
U59128OtherMIPHP HAP PREFERRED
139700OtherMIPREFERRED CHOICES
168947OtherMISELECT CARE
950F353840OtherMIBCBS
144375900MedicaidMI

Other names 1

  • Chiropractic Performance Solutions Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041223000013 MI Part B Supplier - Clinic/Group Practice 0547228439 Receives reassigned benefits from 1 practitioner
Practice locations: Novi, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1356407209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24120 MEADOWBROOK RD",
            "address_2": "SUITE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483753407",
            "telephone_number": "248-477-2100",
            "fax_number": "248-477-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24120 MEADOWBROOK RD",
            "address_2": "SUITE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483753407",
            "telephone_number": "248-477-2100",
            "fax_number": "248-477-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KET CHIROPRACTIC CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "TARKANYI",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-477-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "KT007062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP HAP PREFERRED",
            "identifier": "U59128",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CHOICES",
            "identifier": "139700",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT CARE",
            "identifier": "168947",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950F353840",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144375900",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Performance Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.