Individual provider Active NPI

Chris Koeven, D.C.

  • Chiropractor
  • Sparks, NV
National Provider Identifier
1114466224
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10258334-1202 Issued in UT
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

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
10258334-1202UTMDPediatric Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Koeven Chiropractic, PLLC Chiropractor CurrentSince Sep 20, 2020 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.

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.

Verify at the official NPI Registry.