Organization Active NPI

LKV Renaissance, PLLC

  • Chiropractor
  • Canton, MI
National Provider Identifier
1841541737
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009974 Issued in MI
Legal business name
LKV RENAISSANCE, PLLC
Practice address
45600 Cherry Hill Rd
Canton, MI 48187-5072
Phone
(734) 983-0100
Fax
(734) 983-0300
NPI assigned
Oct 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Authorized official

Name
Dr. Lawrence Michael Morabito II, D.C.NPI 1275894107
Title
Chiropractor
Phone
(734) 363-4904

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 2301009974 MI Primary

Addresses

Primary practice location

45600 Cherry Hill Rd
Canton, MI 48187-5072

Mailing address

27724 Oriole CT
Flat Rock, MI 48134-4711
Phone (734) 363-4904

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130715000451 MI Part B Supplier - Clinic/Group Practice 4789824798 Receives reassigned benefits from 1 practitioner
Practice locations: Canton, MI

National Provider Directory

National Provider Directory

Locations

42287 Cherry Hill Rd
Ste D
Canton, MI 48188
Phone (734) 667-5218

Interoperability endpoints

  • Direct secure messaging: dr.larry@lrp0001.direct.chirotouch.md

Practitioners & affiliated clinicians

Practitioners 3

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": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1841541737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27724 ORIOLE CT",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481344711",
            "telephone_number": "734-363-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45600 CHERRY HILL RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481875072",
            "telephone_number": "734-983-0100",
            "fax_number": "734-983-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LKV RENAISSANCE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "MORABITO",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "734-363-4904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.