Active NPI
Antoinette Kotchounian, DC
- Chiropractor
- Lapeer, MI
National Provider Identifier
1053489542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- AK005901
- Practice address
- 604 S Main St
#170
Lapeer, MI 48446-2463 - Phone
- (810) 793-7376
- Fax
- (810) 793-7647
- NPI assigned
- Dec 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | AK005901 | MI | Primary |
Addresses
Primary practice location
604 S Main St
#170
Lapeer, MI 48446-2463
Mailing address
6229 Willits Rd
Fostoria, MI 48435-9420
Phone (810) 793-7376
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3186265 | Medicaid | MI | |
| 0D41027 | Other | MI | BCBSM PIN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AK005901 | MI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260316800000",
"number": "1053489542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6229 WILLITS RD",
"city": "FOSTORIA",
"state": "MI",
"postal_code": "484359420",
"telephone_number": "810-793-7376",
"fax_number": "810-793-7647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 S MAIN ST",
"address_2": "#170",
"city": "LAPEER",
"state": "MI",
"postal_code": "484462463",
"telephone_number": "810-793-7376",
"fax_number": "810-793-7647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTCHOUNIAN",
"first_name": "ANTOINETTE",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2009-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "AK005901",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3186265",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM PIN",
"identifier": "0D41027",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lapeer, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.