Active NPI
Jeffrey M. Kovacic, D.C.
- Chiropractor
- Hillsdale, MI
National Provider Identifier
1821094699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- JK005923
- Practice address
- 1384 Vera Dr
Hillsdale, MI 49242-9823 - Phone
- (517) 437-4767
- Fax
- (517) 437-0567
- NPI assigned
- Jun 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | JK005923 | MI | Primary |
Addresses
Primary practice location
1384 Vera Dr
Hillsdale, MI 49242-9823
Mailing address
1384 Vera Dr
Hillsdale, MI 49242-9823
Phone (517) 437-4767
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00643696 | Other | MI | PALMETTO RAILROAD GBA |
| 1174771745 | Other | MI | TYPE II NPI |
| 262968470 | Other | MI | COFINITY |
| 2650090 | Other | MI | CIGNA PPO |
| 950C000040 | Other | MI | BLUE CARE NETWORK |
| 5843475 | Other | MI | AETNA |
| 950C000040 | Other | MI | INDIVIDUAL BCBSM PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1384 Vera Dr
Hillsdale, MI 49242-9823
Phone (517) 437-4656
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| JK005923 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knapp Chiropractic Center PLLC | Chiropractor | Current | Accepting new patients |
Locations
1384 Vera Dr
Hillsdale, MI 49242
Phone (517) 437-4767
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Hillsdale, MI
- NPI 1174771745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343260800000",
"number": "1821094699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1384 VERA DR",
"city": "HILLSDALE",
"state": "MI",
"postal_code": "492429823",
"telephone_number": "517-437-4767",
"fax_number": "517-437-0567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1384 VERA DR",
"city": "HILLSDALE",
"state": "MI",
"postal_code": "492429823",
"telephone_number": "517-437-4767",
"fax_number": "517-437-0567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVACIC",
"first_name": "JEFFREY",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2012-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "JK005923",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO RAILROAD GBA",
"identifier": "P00643696",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE II NPI",
"identifier": "1174771745",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COFINITY",
"identifier": "262968470",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PPO",
"identifier": "2650090",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "950C000040",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5843475",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL BCBSM PIN",
"identifier": "950C000040",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hillsdale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.