Jean Theresa Koch, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104-557170 Issued in VA

Practice address

4500 Plank Rd Ste 1022
Fredericksburg, VA 22407-0120

Phone

(540) 785-0200

NPI assigned

May 16, 2014

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Fredericksburg DME

  • Chiropractor
  • Fredericksburg, VA
  • NPI 1184114068
  NPD (past)

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1083025613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 PLANK RD STE 1022",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070120",
            "telephone_number": "540-785-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 PLANK RD STE 1022",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070120",
            "telephone_number": "540-785-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "JEAN",
        "middle_name": "THERESA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104-557170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chaney Adele Knott
• Heather Nicole Knox, DPT
• Ellen Ko, PHARMD
• Ethan S Ko, DO
• Brianna Marie Koch, BCBA, LBA
• Giorgi Kochiashvili, M.D.
• Frank Lawrence Koenig III, MD
• Gerd Koerber, D.C.
• Stewart Edwin Kohler, MD
• Samanvita Kolachana

• Chiropractor in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.