Active NPI
Edwin Richard Kaput, D.C.
- Chiropractor
- Clio, MI
National Provider Identifier
1861767238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301009884
- Practice address
- 5092 W Vienna Rd
Suite H
Clio, MI 48420-2803 - Phone
- (586) 604-3253
- Fax
- (810) 686-3124
- NPI assigned
- Mar 18, 2012
- Last updated
- Mar 18, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 2301009884 | MI | Primary |
Addresses
Primary practice location
5092 W Vienna Rd
Suite H
Clio, MI 48420-2803
Mailing address
5092 W Vienna Rd
Suite H
Clio, MI 48420-2803
Phone (586) 604-3253
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
- Palmer College Chiropractic - Davenport, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
21880 23 Mile Rd
Macomb, MI 48042-4422
Phone (586) 949-0500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
| Sather Chiropractic PLC | Chiropractor | Past | Accepting new patients |
Locations
21880 23 Mile Rd
Macomb, MI 48042
Phone (586) 604-3253
Organizations & group practices 2
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.
-
- Chiropractor
- Macomb, MI
- NPI 1619309218
-
- Chiropractor
- Clio, MI
- NPI 1922495498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332028800000",
"number": "1861767238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5092 W VIENNA RD",
"address_2": "SUITE H",
"city": "CLIO",
"state": "MI",
"postal_code": "484202803",
"telephone_number": "586-604-3253",
"fax_number": "810-686-3124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5092 W VIENNA RD",
"address_2": "SUITE H",
"city": "CLIO",
"state": "MI",
"postal_code": "484202803",
"telephone_number": "586-604-3253",
"fax_number": "810-686-3124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPUT",
"first_name": "EDWIN",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-18",
"last_updated": "2012-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301009884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clio, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.