Individual provider Active NPI

Kevin Ross Denner, D.C.

  • Chiropractor
  • New Baltimore, MI
National Provider Identifier
1881729143
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005888 Issued in MI
Practice address
37339 Green St
New Baltimore, MI 48047-1664
Phone
(906) 202-3295
NPI assigned
Feb 23, 2007
Last updated
Jan 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301005888 MI Primary

Addresses

Primary practice location

37339 Green St
New Baltimore, MI 48047-1664

Mailing address

37339 Green St
New Baltimore, MI 48047-1664
Phone (906) 202-3295

Other identifiers 1

IdentifierTypeStateIssuer
950Z21002OtherMIBCBS ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040123000536 MI Practitioner - Chiropractic 8325942030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Health Systems IncGroup PAC ID 3870481740, 26 clinicians

Practice addresses (Care Compare)

43740 Garfield Rd
Clinton Township, MI 48038-1122
Phone (586) 228-0270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301005888MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Systems Inc CurrentSince Jul 10, 2023 Accepting new patients
Total Health Systems Inc Chiropractor CurrentSince Jul 10, 2023 Accepting new patients
Quest Health Systems VI PLLC Chiropractor PastSince Sep 1, 2020 Accepting new patients
Healthquest of Alger County PLC Chiropractor PastSince May 22, 2013 Accepting new patients

Locations

28098 23 Mile Rd
Chesterfield, MI 48051
Phone (586) 949-0123

43740 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 228-0270

37339 Green St
New Baltimore, MI 48047
Phone (586) 725-1111

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1881729143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37339 GREEN ST",
            "city": "NEW BALTIMORE",
            "state": "MI",
            "postal_code": "480471664",
            "telephone_number": "906-202-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37339 GREEN ST",
            "city": "NEW BALTIMORE",
            "state": "MI",
            "postal_code": "480471664",
            "telephone_number": "906-202-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNER",
        "first_name": "KEVIN",
        "middle_name": "ROSS",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "950Z21002",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Baltimore, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.

Verify at the official NPI Registry.