Organization Active NPI

Tom Kopsch & Associates,Inc

  • Chiropractor
  • Lathrup Village, MI
National Provider Identifier
1629243787
Registry record updated Aug 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
TK005961 Issued in MI
Legal business name
TOM KOPSCH & ASSOCIATES,INC
Practice address
17600 W 11 Mile Rd Ste 1
Lathrup Village, MI 48076-4722
Phone
(248) 792-9736
Fax
(248) 593-3181
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2026

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

Authorized official

Name
Dr. Tom Kopsch
Title
Owner
Phone
(248) 792-9736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X TK005961 MI Primary

Addresses

Primary practice location

17600 W 11 Mile Rd Ste 1
Lathrup Village, MI 48076-4722

Mailing address

17600 W 11 Mile Rd Ste 1
Lathrup Village, MI 48076-4722
Phone (248) 792-9736

Other identifiers 4

IdentifierTypeStateIssuer
OM65460OtherMIUPIN# U35807
950F31559OtherBCBSM
U35807OtherUPIN
4547620MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080515000610 MI Part B Supplier - Clinic/Group Practice 6103995253 Receives reassigned benefits from 1 practitioner
Practice locations: Royal Oak, MI

National Provider Directory

National Provider Directory

Locations

17600 W 11 Mile Rd
Ste 1
Lathrup Village, MI 48076

32268 Woodward Ave
Royal Oak, MI 48073
Phone (248) 549-0140

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786838400000",
    "number": "1629243787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17600 W 11 MILE RD STE 1",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480764722",
            "telephone_number": "248-792-9736",
            "fax_number": "248-593-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17600 W 11 MILE RD STE 1",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480764722",
            "telephone_number": "248-792-9736",
            "fax_number": "248-593-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM KOPSCH & ASSOCIATES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2026-08-16",
        "certification_date": "2026-08-16",
        "status": "A",
        "authorized_official_last_name": "KOPSCH",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-792-9736",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "TK005961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN# U35807",
            "identifier": "OM65460",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "950F31559",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "U35807",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4547620",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lathrup Village, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2026; 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.