Organization Active NPI

Kalamazoo Chiropractic & Rehabilitation

  • Chiropractor
  • Portage, MI
National Provider Identifier
1356975775
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KALAMAZOO CHIROPRACTIC & REHABILITATION
Practice address
3275 Cooley CT Ste 150
Portage, MI 49024-7432
Phone
(269) 202-8251
NPI assigned
Feb 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Authorized official

Name
Dr. Anthony Kopp, DCNPI 1487287785
Title
Owner
Phone
(630) 291-8148

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 Primary

Addresses

Primary practice location

3275 Cooley CT Ste 150
Portage, MI 49024-7432

Mailing address

3275 Cooley CT Ste 150
Portage, MI 49024-7432
Phone (269) 202-8251

National Provider Directory

National Provider Directory

Locations

3275 Cooley Ct
Ste 150
Portage, MI 49024
Phone (269) 202-8251

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": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1356975775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 COOLEY CT STE 150",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490247432",
            "telephone_number": "269-202-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 COOLEY CT STE 150",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490247432",
            "telephone_number": "269-202-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALAMAZOO CHIROPRACTIC & REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "KOPP",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-291-8148",
        "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": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.