Organization Active NPI

Kalamazoo Community Chiropractic, P.C.

Doing business as Kalamazoo Community Chiropractic

  • Chiropractor
  • Kalamazoo, MI
National Provider Identifier
1588715932
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301000122 Issued in MI
Legal business name
KALAMAZOO COMMUNITY CHIROPRACTIC, P.C.
Doing business as
Kalamazoo Community Chiropractic
Practice address
4250 S Westnedge Ave
Kalamazoo, MI 49008-3268
Phone
(269) 388-3003
Fax
(269) 388-2370
NPI assigned
Jan 14, 2007
Last updated
Dec 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Authorized official

Name
Dr. Michael J Kudlas, D.C.
Title
President
Phone
(269) 388-3003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301000122 MI Primary

Addresses

Primary practice location

4250 S Westnedge Ave
Kalamazoo, MI 49008-3268

Mailing address

4250 S Westnedge Ave
Kalamazoo, MI 49008-3268
Phone (269) 388-3003

Other names 1

  • Kalamazoo Community Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

4250 S Westnedge Ave
Kalamazoo, MI 49008
Phone (269) 388-3003

Practitioners & affiliated clinicians

Practitioners 2

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": "1168732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1588715932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 S WESTNEDGE AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490083268",
            "telephone_number": "269-388-3003",
            "fax_number": "269-388-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 S WESTNEDGE AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490083268",
            "telephone_number": "269-388-3003",
            "fax_number": "269-388-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALAMAZOO COMMUNITY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-14",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "KUDLAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-388-3003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301000122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kalamazoo Community Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.