Organization Active NPI

Chiropractic Works PC

  • Chiropractor
  • Oak Park, MI
National Provider Identifier
1912172933
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009139 Issued in MI
Legal business name
CHIROPRACTIC WORKS PC
Practice address
21790 Coolidge Hwy
Oak Park, MI 48237
Phone
(248) 398-1650
Fax
(248) 398-1653
NPI assigned
Apr 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Authorized official

Name
Duncan Koti Mukeku, DCNPI 1487761722
Title
Director
Phone
(248) 398-1650

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 2301009139 MI Primary

Addresses

Primary practice location

21790 Coolidge Hwy
Oak Park, MI 48237

Mailing address

21790 Coolidge Hwy
Oak Park, MI 48237-3156
Phone (248) 398-1650

Other identifiers 4

IdentifierTypeStateIssuer
144969496MedicaidMI
950F317350OtherMIBCBSM
2301009139OtherMILICENSE
7391800OtherMIAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061101000146 MI Part B Supplier - Clinic/Group Practice 2466459664 Receives reassigned benefits from 1 practitioner
Practice locations: Oak Park, MI

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

23120 Coolidge Hwy
Oak Park, MI 48237
Phone (248) 398-1650

21790 Coolidge Hwy
Oak Park, MI 48237
Phone (248) 398-1650

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": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1912172933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21790 COOLIDGE HWY",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482373156",
            "telephone_number": "248-398-1650",
            "fax_number": "248-398-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21790 COOLIDGE HWY",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "48237",
            "telephone_number": "248-398-1650",
            "fax_number": "248-398-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC WORKS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "MUKEKU",
        "authorized_official_first_name": "DUNCAN",
        "authorized_official_middle_name": "KOTI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-398-1650",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144969496",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "950F317350",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2301009139",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7391800",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.