Organization Active NPI

Applied Kinesiology Institute

  • Chiropractor
  • Jackson, MI
National Provider Identifier
1568648145
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
JK007516 Issued in MI
Legal business name
APPLIED KINESIOLOGY INSTITUTE
Practice address
203 S West Ave
Jackson, MI 49201-2011
Phone
(517) 780-4045
NPI assigned
Jan 14, 2008
Last updated
Aug 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Authorized official

Name
Dr. James G. Koffeman, D.CNPI 1902930043
Title
Owner
Phone
(517) 780-4045

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 JK007516 MI Primary

Addresses

Primary practice location

203 S West Ave
Jackson, MI 49201-2011

Mailing address

203 S West Ave
Jackson, MI 49201-2011
Phone (517) 780-4045

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080716000385 MI Part B Supplier - Clinic/Group Practice 5890865091 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson, MI

National Provider Directory

National Provider Directory

Locations

203 S West Ave
Jackson, MI 49201
Phone (517) 780-4045

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": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1568648145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S WEST AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012011",
            "telephone_number": "517-780-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S WEST AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012011",
            "telephone_number": "517-780-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLIED KINESIOLOGY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "KOFFEMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-780-4045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "JK007516",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 14, 2023; 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.