Individual provider Active NPI

Reid Stephen Kaminski, DC

  • Chiropractor
  • Novi, MI
National Provider Identifier
1750033460
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301404217 Issued in MI
Practice address
24520 Meadowbrook Rd Ste 200
Novi, MI 48375-2883
Phone
(248) 348-7530
NPI assigned
Jan 24, 2022
Reactivated
May 6, 2025
Last updated
May 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301404217 MI Primary
Chiropractor 111N00000X 2301401217 MI

Addresses

Primary practice location

24520 Meadowbrook Rd Ste 200
Novi, MI 48375-2883

Mailing address

24520 Meadowbrook Rd Ste 200
Novi, MI 48375-2883
Phone (248) 348-7530

Other practice location 1

34100 Woodward Ave Ste 100
Birmingham, MI 48009-0962
Phone (248) 645-6070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220225000548 MI Practitioner - Chiropractic 7214321868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24520 Meadowbrook Rd
Suite 200
Novi, MI 48375-2883
Phone (248) 348-7766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301404217MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Novi Health & Wellness PLLC Chiropractor CurrentSince Sep 1, 2024 Accepting new patients
Doinidis Chiropractic Health Center, PLLC Chiropractor CurrentSince Sep 19, 2024 Accepting new patients
Clarkston Chiropractic Sports & Wellness LLC Chiropractor PastSince Feb 1, 2022 Accepting new patients

Locations

24520 Meadowbrook Rd
Ste 200
Novi, MI 48375
Phone (248) 348-7530

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1750033460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24520 MEADOWBROOK RD STE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752883",
            "telephone_number": "248-348-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24520 MEADOWBROOK RD STE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752883",
            "telephone_number": "248-348-7530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34100 Woodward Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "MI",
            "postal_code": "480090962",
            "country_code": "US",
            "telephone_number": "248-645-6070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMINSKI",
        "first_name": "REID",
        "middle_name": "STEPHEN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-24",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "deactivation_date": "2025-04-02",
        "reactivation_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301404217",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401217",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.