Active NPI
Jimmy Kwok, D.C.
- Chiropractor
- Troy, MI
National Provider Identifier
1679632830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301009220
- Practice address
- 1441 E Maple Rd Ste 300
Troy, MI 48083-4027 - Phone
- (517) 348-5384
- Fax
- (248) 783-6975
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 2301009220 | MI | |
| Chiropractor | 111N00000X | 2301009220 | MI | Primary |
Addresses
Primary practice location
1441 E Maple Rd Ste 300
Troy, MI 48083-4027
Mailing address
1441 E Maple Rd Ste 300
Troy, MI 48083-4027
Phone (517) 348-5384
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301009220 | MI | MD | Nutrition Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DC Healthy Living Center | Chiropractor | Past | Accepting new patients |
| In 8 PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Grand Rapids, MI
- NPI 1891096699
-
- Chiropractor
- East Lansing, MI
- NPI 1568533370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512691200000",
"number": "1679632830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 E MAPLE RD STE 300",
"city": "TROY",
"state": "MI",
"postal_code": "480834027",
"telephone_number": "517-348-5384",
"fax_number": "248-783-6975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 E MAPLE RD STE 300",
"city": "TROY",
"state": "MI",
"postal_code": "480834027",
"telephone_number": "517-348-5384",
"fax_number": "248-783-6975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWOK",
"first_name": "JIMMY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2017-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "MI",
"license": "2301009220",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301009220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.