Individual provider Active NPI

Frank Kardos III, DC

  • Chiropractor
  • Lincoln Park, MI
National Provider Identifier
1366410755
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007642 Issued in MI
Practice address
3583 Fort St
Lincoln Park, MI 48146
Phone
(313) 382-1333
Fax
(313) 382-6555
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301007642 MI Primary

Addresses

Primary practice location

3583 Fort St
Lincoln Park, MI 48146

Mailing address

3583 Fort St
Lincoln Park, MI 48146
Phone (313) 382-1333

Other identifiers 4

IdentifierTypeStateIssuer
350049516OtherMIRAILROAD MEDICARE
CH820166OtherMIMCARE
561451OtherMISELECTCARE
95OH253730OtherMIBCBS BLUE CARE NETWORK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101008000118 MI Practitioner - Chiropractic 8729270772 Practice locations: Lincoln Park, MI

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3583 Fort St
Lincoln Park, MI 48146-4114
Phone (313) 382-1333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1366410755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3583 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "48146",
            "telephone_number": "313-382-1333",
            "fax_number": "313-382-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3583 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "48146",
            "telephone_number": "313-382-1333",
            "fax_number": "313-382-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARDOS",
        "first_name": "FRANK",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350049516",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "CH820166",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECTCARE",
            "identifier": "561451",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BLUE CARE NETWORK",
            "identifier": "95OH253730",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.