Active NPI
Pro-Active Chiropractic & Wellness, II PC
- Chiropractor
- Clarkston, MI
National Provider Identifier
1770179210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- PRO-ACTIVE CHIROPRACTIC & WELLNESS, II PC
- Practice address
- 6507 Town Center Dr Ste F
Clarkston, MI 48346-4826 - Phone
- (248) 625-7600
- Fax
- (248) 625-2772
- NPI assigned
- Dec 18, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenneth Murkowski II, DC
- Title
- President
- Phone
- (248) 625-7600
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
6507 Town Center Dr Ste F
Clarkston, MI 48346-4826
Mailing address
6507 Town Center Dr Ste F
Clarkston, MI 48346-4826
Phone (248) 625-7600
Other names 1
- Pro-Active Chiropractic & Wellness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Clarkston, MI
- NPI 1902155096
-
- Chiropractor
- Clarkston, MI
- NPI 1942070461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621987200000",
"number": "1770179210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6507 TOWN CENTER DR STE F",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483464826",
"telephone_number": "248-625-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6507 TOWN CENTER DR STE F",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483464826",
"telephone_number": "248-625-7600",
"fax_number": "248-625-2772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRO-ACTIVE CHIROPRACTIC & WELLNESS, II PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-18",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A",
"authorized_official_last_name": "MURKOWSKI",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-625-7600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "II",
"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": [
{
"organization_name": "Pro-Active Chiropractic & Wellness",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Pro-Active Chiropractic & Wellness",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Clarkston, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.