Individual provider Active NPI

Michael Kaisk, D.C.

  • Chiropractor
  • Akron, OH
National Provider Identifier
1407236698
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4583 Issued in OH
Practice address
820 Canton Rd
Akron, OH 44312-3370
Phone
(330) 733-1203
Fax
(307) 332-3403
NPI assigned
Jun 3, 2015
Last updated
May 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4583 OH Primary

Addresses

Primary practice location

820 Canton Rd
Akron, OH 44312-3370

Mailing address

1327 Canton Rd
Suite B
Akron, OH 44312-3948
Phone (234) 813-9200

Other identifiers 1

IdentifierTypeStateIssuer
13669267OtherOHCAQH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160125002055 OH Practitioner - Chiropractic 0547563579 Practice locations: Akron, OH

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

820 Canton Rd
Akron, OH 44312-3370
Phone (330) 733-1203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5114NCMDMental Health Counselor
4583OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaisk Chiropractic, Inc Chiropractor CurrentSince May 15, 2026 Accepting new patients
Apex Chiropractic and Wellness, PLLC Chiropractor CurrentSince Mar 22, 2020 Accepting new patients

Locations

120 Unionville Indian Trail Rd W
Ste C102
Indian Trail, NC 28079
Phone (704) 821-5000

820 Canton Rd
Akron, OH 44312
Phone (330) 733-1203

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": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1407236698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 CANTON RD",
            "address_2": "SUITE B",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443123948",
            "telephone_number": "234-813-9200",
            "fax_number": "234-813-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 CANTON RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443123370",
            "telephone_number": "330-733-1203",
            "fax_number": "307-332-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISK",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-03",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13669267",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.