Chris Koultukis DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHRIS KOULTUKIS DC PC

Practice address

240 Central Park S
Suite 2 R
New York, NY 10019-1457

Phone

(212) 580-2900

Fax

(212) 265-0217

NPI assigned

Aug 11, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Chris Koultukis, DC LACNPI 1194866467

Title

Owner

Phone

(212) 580-2900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chris Koultukis, DC., LAC

  • Chiropractor
  • New York, NY
  • NPI 1194866467
  Medicare reassignment NPD Authorized official
• Ronald J. Grossman, MD

  • Internal Medicine Physician
  • New York, NY
  • NPI 1720114853
  NPD (past)

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1013222306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 CENTRAL PARK S",
            "address_2": "SUITE 2 R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191457",
            "telephone_number": "212-580-2900",
            "fax_number": "212-265-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 CENTRAL PARK S",
            "address_2": "SUITE 2 R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191457",
            "telephone_number": "212-580-2900",
            "fax_number": "212-265-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS KOULTUKIS DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "KOULTUKIS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-580-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC LAC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• To Yei Choy
• Youyin Choy, M.D.,
• Irwin Choyne, RPH
• Sherap Chozom, PHARM D
• Daniel Chpatchev, PA-C
• Matthew Chrisis
• Lorraine Chrisomalis Valasiadis, MD
• Sophia Chrisomalis-Dring, MD
• Natasha Herron Chriss, M.D.
• Zoe Sarah Christal, OTR/L

• Chiropractor in New York, NY
• Providers in New York, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.