Individual provider Active NPI

James Bennett Kravis, D.C.

  • Chiropractor
  • Livonia, MI
National Provider Identifier
1992869671
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301300315 Issued in MI
Practice address
31395 W. 7 Mile Rd.
Suite G
Livonia, MI 48152-4334
Phone
(248) 426-6600
Fax
(248) 426-6603
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301300315 MI Primary

Addresses

Primary practice location

31395 W. 7 Mile Rd.
Suite G
Livonia, MI 48152-4334

Mailing address

31395 W. 7 Mile Rd.
Suite G
Livonia, MI 48152-4334
Phone (248) 426-6600

Other identifiers 9

IdentifierTypeStateIssuer
1467445775MedicaidMI
350031751OtherMIRAILROAD MEDICARE
4558432OtherMIAETNA
4558432OtherMIUS HEALTHCARE
676739OtherMIFOCUS ID#
950H252060OtherMIBCBS INDIVIDUAL
5219173OtherMIFIRST NETWORK CCN#
950H218980OtherMIBCBS GROUP #
P69203OtherMIBLUE CARE NETWORK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301300315MIMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1992869671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31395 W. 7 MILE RD.",
            "address_2": "SUITE G",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481524334",
            "telephone_number": "248-426-6600",
            "fax_number": "248-426-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31395 W. 7 MILE RD.",
            "address_2": "SUITE G",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481524334",
            "telephone_number": "248-426-6600",
            "fax_number": "248-426-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAVIS",
        "first_name": "JAMES",
        "middle_name": "BENNETT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301300315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467445775",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350031751",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4558432",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTHCARE",
            "identifier": "4558432",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FOCUS ID#",
            "identifier": "676739",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "950H252060",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST NETWORK CCN#",
            "identifier": "5219173",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "950H218980",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P69203",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.