Alex Kocken, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4975-12 Issued in WI

Practice address

920 Main Ave
Ste B
De Pere, WI 54115-1306

Phone

(920) 336-2822

Fax

(920) 347-3481

NPI assigned

Nov 22, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Kocken Chiropractic, LLC

  • Chiropractor
  • De Pere, WI
  • NPI 1700216801
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1073943437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MAIN AVE",
            "address_2": "STE B",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541151306",
            "telephone_number": "920-336-2822",
            "fax_number": "920-347-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MAIN AVE",
            "address_2": "STE B",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541151306",
            "telephone_number": "920-336-2822",
            "fax_number": "920-347-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCKEN",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-22",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4975-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlie Marie Klister, OT
• Brianna Klotz, DNP, APNP, FNP-BC
• Vanessa Lynn Knippel, M.A., LMFT 53937
• Tawni Nicole Kobielak, DNP
• Kocken Chiropractic, LLC
• Danelle Lee Koenig, P.T.A.
• Mylan Vaugeois Kohler, DO
• Joy Kolbe-Taylor, LPC-IT
• Kayla Ann Komarec, DC
• Sarah Komberec, BCBA

• Chiropractor in De Pere, WI
• Providers in De Pere, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.