Organization Active NPI

Kathy's Chiropractic, LLC

  • Chiropractor
  • Lambertville, MI
National Provider Identifier
1942434451
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4612 Issued in KY
Legal business name
KATHY'S CHIROPRACTIC, LLC
Practice address
6524 Secor Rd
Lambertville, MI 48144-9431
Phone
(734) 568-6910
Fax
(734) 568-6912
NPI assigned
May 12, 2009
Last updated
Oct 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Authorized official

Name
Kathryn L Forche, D.C.
Title
Provider/Owner
Phone
(734) 568-6910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4612 KY Primary

Addresses

Primary practice location

6524 Secor Rd
Lambertville, MI 48144-9431

Mailing address

6524 Secor Rd
Lambertville, MI 48144-9431
Phone (734) 568-6910

Other identifiers 2

IdentifierTypeStateIssuer
MI6520OtherMIMI GROUP PROVIDER PTAN
MI6520001OtherMIMI PTAN INDIVIDUAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130516000507 MI Part B Supplier - Clinic/Group Practice 0749330033 Receives reassigned benefits from 1 practitioner
Practice locations: Ottawa Lake, MI

National Provider Directory

National Provider Directory

Locations

725 S Main St
Ste 1
Morgantown, KY 42261
Phone (270) 526-6206

6270 Consear Rd
Ottawa Lake, MI 49267
Phone (734) 568-6910

4848 N Holland Sylvania Rd
Ste 102
Sylvania, OH 43560
Phone (567) 288-5132

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1942434451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6524 SECOR RD",
            "city": "LAMBERTVILLE",
            "state": "MI",
            "postal_code": "481449431",
            "telephone_number": "734-568-6910",
            "fax_number": "734-568-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6524 SECOR RD",
            "city": "LAMBERTVILLE",
            "state": "MI",
            "postal_code": "481449431",
            "telephone_number": "734-568-6910",
            "fax_number": "734-568-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHY'S CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "FORCHE",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "734-568-6910",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI GROUP PROVIDER PTAN",
            "identifier": "MI6520",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI PTAN INDIVIDUAL",
            "identifier": "MI6520001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lambertville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.