Organization Active NPI

Optimal Wellness Family Chiropractic, Inc

  • Chiropractor
  • Royal Oak, MI
National Provider Identifier
1790958627
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009334 Issued in MI
Legal business name
OPTIMAL WELLNESS FAMILY CHIROPRACTIC, INC
Practice address
3318 N Main St
Royal Oak, MI 48073-2600
Phone
(248) 629-6071
Fax
(248) 629-6073
NPI assigned
Apr 11, 2008
Last updated
Sep 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Kendra Lynn Ahrens, DCNPI 1265871792
Title
Owner/Chiropractor
Phone
(248) 629-6071

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
Chiropractor 111N00000X 2301009334 MI Primary

Addresses

Primary practice location

3318 N Main St
Royal Oak, MI 48073-2600

Mailing address

3318 N Main St
Royal Oak, MI 48073-2600
Phone (248) 629-6071

Other identifiers 1

IdentifierTypeStateIssuer
1790958627MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160212000109 MI Part B Supplier - Clinic/Group Practice 9537463542 Receives reassigned benefits from 4 practitioners
Practice locations: Royal Oak, MI

National Provider Directory

National Provider Directory

Locations

3318 N Main St
Royal Oak, MI 48073
Phone (248) 629-6071

Practitioners & affiliated clinicians

Practitioners 6

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": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1790958627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 N MAIN ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480732600",
            "telephone_number": "248-629-6071",
            "fax_number": "248-629-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3318 N MAIN ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480732600",
            "telephone_number": "248-629-6071",
            "fax_number": "248-629-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL WELLNESS FAMILY CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "AHRENS",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "248-629-6071",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790958627",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.