Organization Active NPI

Buckle Family Chiropractic PLLC

  • Chiropractor
  • Livonia, MI
National Provider Identifier
1831393586
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009171 Issued in MI
Legal business name
BUCKLE FAMILY CHIROPRACTIC PLLC
Practice address
38807 Ann Arbor Rd Ste 5
Livonia, MI 48150-3896
Phone
(734) 953-9933
Fax
(734) 953-9966
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
Dr. Kyle Wilfred Patrick Buckle, D.C.NPI 1588749782
Title
Manager
Phone
(248) 349-9933

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301009171 MI Primary

Addresses

Primary practice location

38807 Ann Arbor Rd Ste 5
Livonia, MI 48150-3896

Mailing address

38807 Ann Arbor Rd Ste 5
Livonia, MI 48150-3896
Phone (734) 953-9933

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070831000254 MI Part B Supplier - Clinic/Group Practice 3577656859 Receives reassigned benefits from 1 practitioner
Practice locations: Livonia, MI

National Provider Directory

National Provider Directory

Locations

38807 Ann Arbor Rd
Ste 5
Livonia, MI 48150
Phone (734) 953-9933

41620 6 Mile Rd
Ste 102
Northville, MI 48168
Phone (248) 349-9933

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1831393586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38807 ANN ARBOR RD STE 5",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503896",
            "telephone_number": "734-953-9933",
            "fax_number": "734-953-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38807 ANN ARBOR RD STE 5",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503896",
            "telephone_number": "734-953-9933",
            "fax_number": "734-953-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKLE FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "BUCKLE",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "WILFRED PATRICK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-349-9933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.