Kenneth Dale Wardell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7553 Issued in MI

Practice address

28252 Ford Rd
Garden City, MI 48135-2927

Phone

(734) 421-4110

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Wardell Chiropractic Family Health Center, P.C.

  • Chiropractor
  • Garden City, MI
  • NPI 1316007909
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649293135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28252 FORD RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28252 FORD RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352927",
            "telephone_number": "734-421-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDELL",
        "first_name": "KENNETH",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "7553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4310208",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "KW007553",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Duha Waleed
• Walgreen Co
• Alissa Maria Walker
• Joseph L Walkiewicz, D.O.
• Wardell Chiropractic Family Health Center, P.C.
• Krzysztof Warszawski, M.D.
• Wayne County Physical Therapy LLC
• Wayne County Treasurer Payroll-County of Wayne
• Anna Rose Wegela, LMSW
• Gregory Lee Weigler, D.O.

• Chiropractor in Garden City, MI
• Providers in Garden City, MI by specialty
• Chiropractor in Michigan

• 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.