Kevin Jeremy Homer, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301008892 Issued in MI

Practice address

7180 Dixie Hwy
Clarkston, MI 48346-5109

Phone

(248) 625-7690

Fax

(248) 625-7140

NPI assigned

May 24, 2006

Last updated

Aug 2, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Kevin J Homer Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Great Lakes Spine and Medical PLLCGroup PAC ID 2567837404, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Great Lakes Spine and Medical PLLC

  • General Practice Physician
  • Saginaw, MI
  • NPI 1699473033
  Medicare reassignment Care Compare group NPD
• Dalton Chiropractic PLLC

  • Chiropractor
  • Frankenmuth, MI
  • NPI 1548917008
  Medicare reassignment NPD
• Great Lakes Spine and Medical PLLC

  • Durable Medical Equipment & Medical Supplies
  • Saginaw, MI
  • NPI 1336847730
  NPD
• Align Chiropractic Clinic

  • Chiropractor
  • Rochester, MI
  • NPI 1639550791
  NPD (past)
• William F Goss DC I PLLC

  dba Goss Chiropractic Clinics

  • Chiropractor
  • Sterling Heights, MI
  • NPI 1528119682
  NPD (past)
• William F Goss DC III PLLC

  dba Goss Chiropractic Clinics

  • Chiropractor
  • Rochester, MI
  • NPI 1821149899
  NPD (past)
• Yockey Chiropractic Inc

  • Chiropractor
  • Battle Creek, MI
  • NPI 1548750441
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1801841846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7180 DIXIE HWY",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465109",
            "telephone_number": "248-625-7690",
            "fax_number": "248-625-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7180 DIXIE HWY",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465109",
            "telephone_number": "248-625-7690",
            "fax_number": "248-625-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMER",
        "first_name": "KEVIN",
        "middle_name": "JEREMY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4905935",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Clarkston",
            "affiliation": "N",
            "endpointDescription": "kehreshealth.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "7180 Dixie Hwy",
            "city": "Clarkston",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483465109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "HOMER",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Chiropractor in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.