Organization Active NPI

Village Chiropractic Wellness Center, PLC

  • Chiropractor
  • Kalkaska, MI
National Provider Identifier
1710149844
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007436 Issued in MI
Legal business name
VILLAGE CHIROPRACTIC WELLNESS CENTER, PLC
Practice address
798 W Mile Rd NW
Kalkaska, MI 49646-8431
Phone
(231) 258-4023
Fax
(231) 258-3291
NPI assigned
Jun 30, 2008
Last updated
Feb 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Authorized official

Name
Dr. Kareen Lee Oosterhart, D.C.NPI 1942217849
Title
Member
Phone
(231) 258-4023

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301007436 MI Primary

Addresses

Primary practice location

798 W Mile Rd NW
Kalkaska, MI 49646-8431

Mailing address

798 W Mile Rd NW
Kalkaska, MI 49646-8431
Phone (231) 258-4023

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080926000496 MI Part B Supplier - Clinic/Group Practice 2365519709 Receives reassigned benefits from 3 practitioners
Practice locations: Kalkaska, MI

National Provider Directory

National Provider Directory

Locations

798 W Mile Rd NW
Kalkaska, MI 49646
Phone (231) 258-4023

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1710149844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 W MILE RD NW",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "496468431",
            "telephone_number": "231-258-4023",
            "fax_number": "231-258-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 W MILE RD NW",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "496468431",
            "telephone_number": "231-258-4023",
            "fax_number": "231-258-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE CHIROPRACTIC WELLNESS CENTER, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "OOSTERHART",
        "authorized_official_first_name": "KAREEN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "231-258-4023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalkaska, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.