Organization Active NPI

Dale J Kretunski DC PC

  • Chiropractor
  • Roseville, MI
National Provider Identifier
1962650903
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004970 Issued in MI
Legal business name
DALE J KRETUNSKI DC PC
Practice address
16224 E 13 Mile Rd
Roseville, MI 48066-1524
Phone
(586) 773-9530
Fax
(586) 773-7765
NPI assigned
Sep 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Authorized official

Name
Dr. Dale Joseph Kretunski, D.C., P.T.
Title
Owner
Phone
(586) 773-9530

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2301004970 MI Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5501002214 MI

Addresses

Primary practice location

16224 E 13 Mile Rd
Roseville, MI 48066-1524

Mailing address

16224 E 13 Mile Rd
Roseville, MI 48066-1524
Phone (586) 773-9530

National Provider Directory

National Provider Directory

Locations

16224 E 13 Mile Rd
Roseville, MI 48066
Phone (586) 733-9530

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1962650903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16224 E 13 MILE RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480661524",
            "telephone_number": "586-773-9530",
            "fax_number": "586-773-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16224 E 13 MILE RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480661524",
            "telephone_number": "586-773-9530",
            "fax_number": "586-773-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE J KRETUNSKI DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "KRETUNSKI",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-773-9530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., P.T."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004970",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501002214",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.