Organization Active NPI

Kore Chiropractic, PLLC

Doing business as Kore Chiropractic

  • Health Service Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1043954936
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
KORE CHIROPRACTIC, PLLC
Doing business as
Kore Chiropractic
Practice address
14891 N Northsight Blvd Ste 117
Scottsdale, AZ 85260-2635
Phone
(480) 408-8684
Fax
(480) 999-5561
NPI assigned
Apr 26, 2022
Last updated
May 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Authorized official

Name
Dr. Tony J Koehler, D.C.NPI 1376017202
Title
Owner
Phone
(480) 408-8684

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

14891 N Northsight Blvd Ste 117
Scottsdale, AZ 85260-2635

Mailing address

14891 N Northsight Blvd Ste 117
Scottsdale, AZ 85260-2635
Phone (480) 408-8684

Other names 1

  • Kore Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220603001354 AZ Part B Supplier - Clinic/Group Practice 6608254636 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

14891 N Northsight Blvd
Ste 117
Scottsdale, AZ 85260
Phone (480) 408-8684

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1043954936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14891 N NORTHSIGHT BLVD STE 117",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602635",
            "telephone_number": "480-408-8684",
            "fax_number": "480-999-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14891 N NORTHSIGHT BLVD STE 117",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602635",
            "telephone_number": "480-408-8684",
            "fax_number": "480-999-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORE CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "KOEHLER",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-408-8684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kore Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.