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LAKE MICHIGAN CHIROPRACTIC, PLLC
NPI 1144504010
Chiropractor in Saint Joseph, MI

Active since October 10, 2011
4082 RED ARROW HWY., SAINT JOSEPH, MI 49085(269) 408-8736(269) 408-8790 Get Directions Write a Review

NPPES record last updated: October 10, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lake Michigan Chiropractic, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE MICHIGAN CHIROPRACTIC, PLLC (NPI 1144504010) is a healthcare organization registered as a chiropractor in Saint Joseph, Michigan and active in the NPI registry since October 2011. The organization lists Kraig Alan Kirkdorfer, Doctor Of Chiropractic, as its authorized official.

NPPES Registry Identity

NPI1144504010
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLAKE MICHIGAN CHIROPRACTIC, PLLC
Location Address4082 RED ARROW HWY.Saint Joseph, MI 49085-9431
Mailing Address4082 Red Arrow Hwy.Saint Joseph, MI 49085-9431 · (269) 408-8736 · Fax (269) 408-8790
Phone(269) 408-8736
Fax(269) 408-8790
Organization SubpartNo
Authorized OfficialKraig Alan KirkdorferDoctor Of Chiropractic · (269) 408-8736
Enumeration DateOctober 10, 2011
✔ NPI 1144504010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MI · KK2301009038
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
4082 RED ARROW HWY., Saint Joseph, MI 49085
Open in Google Maps ↗

Other Identifiers 1

Medicare UPIN0P29080MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lake Michigan Chiropractic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lake Michigan Chiropractic, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kraig Kirkdorfer, D.C.
Chiropractic
NPI 1922017672
2560 S CLEVELAND AVE SUITE 4
Saint Joseph, MI 49085
(269) 982-1611
✔ Accepts Medicare2.2 mi

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 Lake Michigan Chiropractic, PLLC's NPI number?

The NPI number for Lake Michigan Chiropractic, PLLC is 1144504010. It was assigned to this organization in the NPPES registry on October 10, 2011.

Where is Lake Michigan Chiropractic, PLLC located?

Lake Michigan Chiropractic, PLLC is located at 4082 Red Arrow Hwy., Saint Joseph, MI 49085. The listed phone number is (269) 408-8736.

What is Lake Michigan Chiropractic, PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Lake Michigan Chiropractic, PLLC enrolled in Medicare?

Yes. Lake Michigan Chiropractic, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Michigan Chiropractic, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Lake Michigan Chiropractic, PLLC. 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 Lake Michigan Chiropractic, PLLC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lake Michigan Chiropractic, PLLC 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 Lake Michigan Chiropractic, PLLC was last updated on October 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.