Organization Active NPI

Adjusted Health Chiropractic PLLC

  • Chiropractor
  • Monroe, MI
National Provider Identifier
1760044341
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ADJUSTED HEALTH CHIROPRACTIC PLLC
Practice address
14989 S Dixie Hwy
Monroe, MI 48161-3769
Phone
(734) 244-4285
Fax
(734) 244-4518
NPI assigned
Jul 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Authorized official

Name
Dr. Derek Patrick Kaczor, DCNPI 1124577234
Title
Chiropractor
Phone
(734) 819-5254

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 Primary

Addresses

Primary practice location

14989 S Dixie Hwy
Monroe, MI 48161-3769

Mailing address

14989 S Dixie Hwy
Monroe, MI 48161-3769
Phone (734) 244-4285

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200120000029 MI Part B Supplier - Clinic/Group Practice 6507291614 Receives reassigned benefits from 2 practitioners
Practice locations: Monroe, MI

National Provider Directory

National Provider Directory

Locations

15175 S Dixie Hwy
Ste A
Monroe, MI 48161
Phone (734) 244-4285

14989 S Dixie Hwy
Monroe, MI 48161
Phone (734) 244-4285

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1760044341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14989 S DIXIE HWY",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481613769",
            "telephone_number": "734-244-4285",
            "fax_number": "734-244-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14989 S DIXIE HWY",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481613769",
            "telephone_number": "734-244-4285",
            "fax_number": "734-244-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADJUSTED HEALTH CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "KACZOR",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "734-819-5254",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.