Individual provider Active NPI

Jimmy Kwok, D.C.

  • Chiropractor
  • Troy, MI
National Provider Identifier
1679632830
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009220 Issued in MI
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

Updated by the provider on Dec 8, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2301009220MIMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
DC Healthy Living Center Chiropractor PastSince Mar 12, 2011 Accepting new patients
In 8 PC Chiropractor PastSince Nov 1, 2000 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.

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.

Verify at the official NPI Registry.