Active NPI
Kenneth S.J. Murkowski, D.C
- Chiropractor
- Jackson, MI
National Provider Identifier
1477525244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301002595
- Practice address
- 645 Saint Clair Ave
Jackson, MI 49202-2024 - Phone
- (517) 784-9123
- Fax
- (517) 784-9150
- NPI assigned
- Feb 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301002595 | MI | Primary |
Addresses
Primary practice location
645 Saint Clair Ave
Jackson, MI 49202-2024
Mailing address
645 Saint Clair Ave
Jackson, MI 49202-2024
Phone (517) 784-9123
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950C850180 | Other | MI | BLUE CROSS PIN |
| 1057984-14 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1477525244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 SAINT CLAIR AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492022024",
"telephone_number": "517-784-9123",
"fax_number": "517-784-9150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 SAINT CLAIR AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492022024",
"telephone_number": "517-784-9123",
"fax_number": "517-784-9150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURKOWSKI",
"first_name": "KENNETH",
"middle_name": "S.J.",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301002595",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PIN",
"identifier": "950C850180",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1057984-14",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.