Individual provider Active NPI

Duncan Koti Mukeku, D.C

  • Chiropractor
  • Oak Park, MI
National Provider Identifier
1487761722
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009139 Issued in MI
Practice address
21790 Coolidge Hwy
Oak Park, MI 48237
Phone
(248) 398-1650
Fax
(248) 398-1653
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009139 MI Primary

Addresses

Primary practice location

21790 Coolidge Hwy
Oak Park, MI 48237

Mailing address

21790 Coolidge Hwy
Oak Park, MI 48237-3156
Phone (248) 398-1650

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061101000155 MI Practitioner - Chiropractic 2365449568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21790 Coolidge Hwy
Oak Park, MI 48237-3156
Phone (248) 398-1650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301009139MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Works & Preventative Medicine PLLC Chiropractor CurrentSince Mar 26, 2024 Accepting new patients
Duncan Mukeku PLLC Chiropractor PastSince Sep 18, 2006 Accepting new patients

Locations

21790 Coolidge Hwy
Ste A
Oak Park, MI 48237

21790 Coolidge Hwy
Oak Park, MI 48237
Phone (248) 398-1650

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1487761722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21790 COOLIDGE HWY",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482373156",
            "telephone_number": "248-398-1650",
            "fax_number": "248-398-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21790 COOLIDGE HWY",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "48237",
            "telephone_number": "248-398-1650",
            "fax_number": "248-398-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKEKU",
        "first_name": "DUNCAN",
        "middle_name": "KOTI",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.