BREATH OF LIFE CHIROPRACTIC WELLNESS CENTER P.C.
NPI 1124252598
Chiropractor in Petoskey, MI
About Breath Of Life Chiropractic Wellness Center P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BREATH OF LIFE CHIROPRACTIC WELLNESS CENTER P.C. (NPI 1124252598) is a healthcare organization registered as a chiropractor in Petoskey, Michigan and active in the NPI registry since May 2009. The organization lists Kyle Martin Denholm, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Breath Of Life Chiropractic Wellness Center P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Breath Of Life Chiropractic Wellness Center P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Breath Of Life Chiropractic Wellness Center P.C.'s NPI number?
The NPI number for Breath Of Life Chiropractic Wellness Center P.C. is 1124252598. It was assigned to this organization in the NPPES registry on May 13, 2009.
Where is Breath Of Life Chiropractic Wellness Center P.C. located?
Breath Of Life Chiropractic Wellness Center P.C. is located at 322 Bay St #3, Petoskey, MI 49770. The listed phone number is (231) 622-8828.
What is Breath Of Life Chiropractic Wellness Center P.C.'s specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Breath Of Life Chiropractic Wellness Center P.C. enrolled in Medicare?
Yes. Breath Of Life Chiropractic Wellness Center P.C. is registered in the Medicare PECOS enrollment system.
When is Breath Of Life Chiropractic Wellness Center P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Breath Of Life Chiropractic Wellness Center P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Breath Of Life Chiropractic Wellness Center P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Breath Of Life Chiropractic Wellness Center P.C. accept?
Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Breath Of Life Chiropractic Wellness Center P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Breath Of Life Chiropractic Wellness Center P.C. was last updated on May 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Breath Of Life Chiropractic Wellness Center P.c. · NPI 1124252598
Chiropractor organization in Petoskey, Michigan. Organization record, active in the CMS NPPES registry since May 13, 2009.
## Identity
- **NPI:** 1124252598 (Entity type: Organization)
- **Enumerated:** May 13, 2009
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Kyle Denholm, OWNER
## Practice location
- **Address:** 322 BAY ST, #3, Petoskey, MI 49770-2489
- **Phone:** (231) 622-8828 · **Fax:** (231) 622-8829
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 13, 2009
- **Other identifiers:** Other 950B01090 (MI); Medicare PIN M94740002 (MI); Medicaid 5195192 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1124252598) · Data from the CMS NPPES public registry.