Active NPI
Chris Koeven, D.C.
- Chiropractor
- Sparks, NV
National Provider Identifier
1114466224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 10258334-1202
- Practice address
- 1724 C St
Sparks, NV 89431-4874 - Phone
- (775) 525-1484
- Fax
- (775) 451-9504
- NPI assigned
- Feb 22, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Chiropractor | 111NP0017X | 10258334-1202 | UT | |
| Chiropractor | 111N00000X | 10258334-1202 | UT | Primary |
Addresses
Primary practice location
1724 C St
Sparks, NV 89431-4874
Mailing address
705 Todd CT
Fernley, NV 89408-7558
Phone (775) 525-1484
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 |
|---|---|---|---|
| 10258334-1202 | UT | MD | Pediatric Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Koeven Chiropractic, PLLC | Chiropractor | Current | Accepting new patients |
Locations
1724 C St
Sparks, NV 89431
Phone (775) 323-4956
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.
-
dba Time 2 Adjust Family Chiropractic
- Chiropractor
- Sparks, NV
- NPI 1053926253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619740800000",
"number": "1114466224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 TODD CT",
"city": "FERNLEY",
"state": "NV",
"postal_code": "894087558",
"telephone_number": "775-525-1484",
"fax_number": "775-451-9504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1724 C ST",
"city": "SPARKS",
"state": "NV",
"postal_code": "894314874",
"telephone_number": "775-525-1484",
"fax_number": "775-451-9504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEVEN",
"first_name": "CHRIS",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-22",
"last_updated": "2021-04-30",
"certification_date": "2021-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "UT",
"license": "10258334-1202",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "10258334-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.