Organization Active NPI

J D K Centers Inc

  • Chiropractor
  • Leslie, MI
National Provider Identifier
1487831210
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301006953 Issued in MI
Legal business name
J D K CENTERS INC
Practice address
522 W Bellevue St
Leslie, MI 49251-9490
Phone
(517) 589-5610
Fax
(517) 589-9908
NPI assigned
Jan 23, 2008
Last updated
Nov 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Authorized official

Name
Dr. John Daniel Kribs, D.C.NPI 1750489936
Title
Owner
Phone
(517) 589-5610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301006953 MI Primary

Addresses

Primary practice location

522 W Bellevue St
Leslie, MI 49251-9490

Mailing address

PO Box 515
Leslie, MI 49251-0515
Phone (517) 589-5610

Other practice location 1

790 E Columbia St Ste C
Mason, MI 48854-1387
Phone (517) 676-9951

Other identifiers 2

IdentifierTypeStateIssuer
3040387MedicaidMI
950C312580OtherMIBLUE CROSS/BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041123000900 MI Part B Supplier - Clinic/Group Practice 2062477516 Receives reassigned benefits from 1 practitioner
Practice locations: Mason, MI

National Provider Directory

National Provider Directory

Locations

415 S Jefferson St
Mason, MI 48854
Phone (517) 676-9951

790 E Columbia St
Ste C
Mason, MI 48854
Phone (517) 676-9951

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1487831210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 515",
            "city": "LESLIE",
            "state": "MI",
            "postal_code": "492510515",
            "telephone_number": "517-589-5610",
            "fax_number": "517-589-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 W BELLEVUE ST",
            "city": "LESLIE",
            "state": "MI",
            "postal_code": "492519490",
            "telephone_number": "517-589-5610",
            "fax_number": "517-589-9908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "790 E Columbia St Ste C",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "MI",
            "postal_code": "488541387",
            "country_code": "US",
            "telephone_number": "517-676-9951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "J D K CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "KRIBS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-589-5610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3040387",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "950C312580",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leslie, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.