Kotila Chiropractic Life Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301002841 Issued in MI

Legal business name

KOTILA CHIROPRACTIC LIFE CENTER

Practice address

30400 Telegraph Rd Ste 116
Bingham Farms, MI 48025-4538

Phone

(248) 642-4550

Fax

(248) 642-8187

NPI assigned

Jul 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary J Kotila, DCNPI 1770514713

Title

President

Phone

(248) 642-4550

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Gary J Kotila, DC

  • Chiropractor
  • Brandon, FL
  • NPI 1770514713
  NPD (past) Authorized official
• James A Clark, DC

  • Chiropractor
  • Farmington Hills, MI
  • NPI 1750334546
  NPD (past)
• Heather L Schueler, D.C.

  • Chiropractor
  • Lathrup Village, MI
  • NPI 1245312578
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811910821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30400 TELEGRAPH RD STE 116",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254538",
            "telephone_number": "248-642-4550",
            "fax_number": "248-642-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30400 TELEGRAPH RD STE 116",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254538",
            "telephone_number": "248-642-4550",
            "fax_number": "248-642-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOTILA CHIROPRACTIC LIFE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOTILA",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-642-4550",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301002841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raphaela Sophia Korotky
• Timothy Frank Kosinski, MS DDS
• Jackie Kosmas
• Alexandra Rose Kossick
• Gabriele Kostun
• Megan Kozikowski
• Jacquelyn Kozlowski, DMD
• Bradley Kraft
• Sara Krahel, LMSW-C
• John Kramer, CRNA

• Chiropractor in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.