Michael L Kwast, DC, CSCS

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MK007656 Issued in MI

Practice address

4150 E Beltline Ave NE
Suite #3
Grand Rapids, MI 49525-9715

Phone

(616) 447-9888

Fax

(616) 447-9886

NPI assigned

Jun 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Performance Integrated Medicine PLCGroup PAC ID 7012918196, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Peak Performance Integrated Medicine, PLC

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1932250693
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1629015946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 E BELTLINE AVE NE",
            "address_2": "SUITE #3",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259715",
            "telephone_number": "616-447-9888",
            "fax_number": "616-447-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 E BELTLINE AVE NE",
            "address_2": "SUITE #3",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259715",
            "telephone_number": "616-447-9888",
            "fax_number": "616-447-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAST",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "MK007656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4073990",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Kuzma, PT
• Michelle Kuzma, MS, AT, ATC, CPT
• Raelynn Kuzmicz, LLMSW
• Clarice Dawn Kwant, M.S.W.
• Jacob Kwast, DC
• Emily Kwekel
• Joyce E Kwekel, CRNA
• Candice Kwon, DO
• Kailyn Sum York Lain Kwong Hing, M.D.
• Jeanette Kymes

• Chiropractor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.