Active NPI
Hailey Quyn Koch, DC
- Chiropractor
- Goodyear, AZ
National Provider Identifier
1013548205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9102
- Practice address
- 10549 S 181St Ave
Goodyear, AZ 85338-5964 - Phone
- (920) 296-6382
- NPI assigned
- Jan 28, 2020
- Sex
- Female
- 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 | 9102 | AZ | Primary |
Addresses
Primary practice location
10549 S 181St Ave
Goodyear, AZ 85338-5964
Mailing address
10549 S 181St Ave
Goodyear, AZ 85338-5964
Phone (920) 296-6382
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 |
|---|---|---|---|
| 9102 | AZ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ag Management Group LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Saint Charles, MO
- NPI 1477872901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632873600000",
"number": "1013548205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10549 S 181ST AVE",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853385964",
"telephone_number": "920-296-6382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10549 S 181ST AVE",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853385964",
"telephone_number": "920-296-6382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "HAILEY",
"middle_name": "QUYN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-28",
"last_updated": "2021-09-29",
"certification_date": "2021-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "9102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.