Individual provider Active NPI

Kenneth Stanley Stopa Jr., DC

  • Chiropractor
  • Northville, MI
National Provider Identifier
1548342223
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007768 Issued in MI
Practice address
109 W Main Street
Northville, MI 48167
Phone
(248) 735-9800
Fax
(248) 735-9801
NPI assigned
Oct 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301007768 MI Primary

Addresses

Primary practice location

109 W Main Street
Northville, MI 48167

Mailing address

109 W Main Street
Northville, MI 48167
Phone (248) 735-9800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080514000554 MI Practitioner - Chiropractic 9133298375 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recovered ChiropracticGroup PAC ID 9638500804, 3 clinicians

Practice addresses (Care Compare)

5601 Highland Rd
Waterford, MI 48327-1927
Phone (248) 618-3467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stay Home Wound Care PC CurrentSince Aug 1, 2024 Accepting new patients
Michigan Chiropractic Specialists of West Bloomfield, P.C. Chiropractor CurrentSince Jan 1, 2024 Accepting new patients
Staywell Spine and Joint Specialists LLC Chiropractor CurrentSince Sep 1, 2023 Accepting new patients
Recovered Chiropractic CurrentSince Aug 7, 2025 Accepting new patients
Michigan Chiropractic Specialists of Waterford, P.C. Chiropractor PastSince Feb 3, 2006 Accepting new patients

Locations

26200 Town Center Dr
Ste 165
Novi, MI 48375
Phone (248) 228-0541

5140 Highland Rd
Waterford, MI 48327
Phone (248) 618-3467

5140 Highland Rd
Ste 1912
Waterford, MI 48327

5601 Highland Rd
Waterford, MI 48327
Phone (248) 618-3467

Organizations & group practices 6

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548342223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W MAIN STREET",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "48167",
            "telephone_number": "248-735-9800",
            "fax_number": "248-735-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W MAIN STREET",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "48167",
            "telephone_number": "248-735-9800",
            "fax_number": "248-735-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOPA",
        "first_name": "KENNETH",
        "middle_name": "STANLEY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.