Individual provider Active NPI

Nicholas Kepreos, DC

  • Chiropractor
  • Shelby TWP, MI
National Provider Identifier
1386264257
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010945 Issued in MI
Practice address
48710 Van Dyke Ave
Shelby TWP, MI 48317-2561
Phone
(586) 799-2010
Fax
(586) 799-2011
NPI assigned
Apr 21, 2020
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010945 MI Primary

Addresses

Primary practice location

48710 Van Dyke Ave
Shelby TWP, MI 48317-2561

Mailing address

48710 Van Dyke Ave
Shelby TWP, MI 48317-2561

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200526002970 MI Practitioner - Chiropractic 9739500976 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

48710 Van Dyke Ave
Shelby Township, MI 48317-2561
Phone (586) 799-2010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301010945MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ambrose Chiropractic Office PLC Chiropractor CurrentSince Apr 26, 2020 Accepting new patients
Back to Health Chiropractic - Muskegon, P.C. Chiropractor CurrentSince May 13, 2020 Accepting new patients
Connect Chiropractic and Wellness PLLC Chiropractor CurrentSince Jul 2, 2022 Accepting new patients

Locations

1125 E Sherman Blvd
Norton Shores, MI 49444
Phone (231) 830-1111

48710 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 713-8526

10990 Chicago Dr
Zeeland, MI 49464
Phone (616) 546-3500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1386264257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48710 VAN DYKE AVE",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483172561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48710 VAN DYKE AVE",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483172561",
            "telephone_number": "586-799-2010",
            "fax_number": "586-799-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPREOS",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-21",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; 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.