Scott Kaczmar, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

SK007679 Issued in MI

Practice address

47950 Van Dyke Ave
Suite a
Shelby Township, MI 48317-3255

Phone

(586) 739-6654

NPI assigned

Jan 31, 2007

Last updated

Aug 26, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lifeline Chiropractic P C

  • Chiropractor
  • Shelby Township, MI
  • NPI 1427230390
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1477690097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47950 VAN DYKE AVE",
            "address_2": "SUITE A",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483173255",
            "telephone_number": "586-739-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47950 VAN DYKE AVE",
            "address_2": "SUITE A",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483173255",
            "telephone_number": "586-739-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACZMAR",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "SK007679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "950E025430",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leigh Jouppi
• Diana Jovanovic
• Aimee Rose Juncaj, DNP
• Kyle Junga, D.D.S.
• Christine Kaczmar, DC
• Katherine Kallasides, PHARM.D.
• Nadia Ghazi Kannu
• Kara K Lembo DDS PC
• Arvin Labib Karana
• Kimberley Kardos

• Chiropractor in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.