Active NPI
Trent Gregory Kozman, D.C.
- Chiropractor
- South Daytona, FL
National Provider Identifier
1003214917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 11353
- Practice address
- 2741 S Ridgewood Ave
South Daytona, FL 32119-3539 - Phone
- (740) 403-9150
- NPI assigned
- Dec 9, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 11353 | FL | Primary |
Addresses
Primary practice location
2741 S Ridgewood Ave
South Daytona, FL 32119-3539
Mailing address
3900 Yorktowne Blvd Apt 1506
Port Orange, FL 32129-6058
Phone (740) 403-9150
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 11353 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418083200000",
"number": "1003214917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 YORKTOWNE BLVD APT 1506",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321296058",
"telephone_number": "740-403-9150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2741 S RIDGEWOOD AVE",
"city": "SOUTH DAYTONA",
"state": "FL",
"postal_code": "321193539",
"telephone_number": "740-403-9150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZMAN",
"first_name": "TRENT",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-09",
"last_updated": "2014-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 11353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Daytona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.