Organization Active NPI

Kratz Chiropractic PLLC

  • Chiropractor
  • Shelby Township, MI
National Provider Identifier
1962487660
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008834 Issued in MI
Legal business name
KRATZ CHIROPRACTIC PLLC
Practice address
45637 Hayes Rd
Shelby Township, MI 48315-6214
Phone
(568) 566-0011
NPI assigned
Dec 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles Kratz, D.C.
Title
Owner
Phone
(586) 703-0410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301008834 MI Primary

Addresses

Primary practice location

45637 Hayes Rd
Shelby Township, MI 48315-6214

Mailing address

45637 Hayes Rd
Shelby Township, MI 48315-6214
Phone (568) 566-0011

Other identifiers 1

IdentifierTypeStateIssuer
V02071OtherMIHAPPOM

Other names 1

  • Exceptional Life Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

45637 Hayes Rd
Shelby Township, MI 48315
Phone (586) 991-6471

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962487660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45637 HAYES RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483156214",
            "telephone_number": "568-566-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45637 HAYES RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483156214",
            "telephone_number": "568-566-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRATZ CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRATZ",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-703-0410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAPPOM",
            "identifier": "V02071",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Exceptional Life Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.