Heidi Lyn Kosak, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1297 Issued in NE

Practice address

14450 Eagle Run Dr
Suite 150
Omaha, NE 68116-1493

Phone

(402) 964-0300

Fax

(402) 964-0058

NPI assigned

Aug 31, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Hinze Chiropractic Center P C

  • Chiropractor
  • Columbus, NE
  • NPI 1508867151
  NPD (past)

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1114910593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14450 EAGLE RUN DR",
            "address_2": "SUITE 150",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681161493",
            "telephone_number": "402-964-0300",
            "fax_number": "402-964-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14450 EAGLE RUN DR",
            "address_2": "SUITE 150",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681161493",
            "telephone_number": "402-964-0300",
            "fax_number": "402-964-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSAK",
        "first_name": "HEIDI",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025192900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandi Korth
• Katie Anne Korth
• Samantha J. Korth, PAC
• Zachary Ryan Korth, D.C.
• Kosak Chiropractic P.C.
• Kevin Richard Kosak, DC
• Margaret Kosch
• Joseph Koschwanez
• Annie T Kosel, PHARM.D
• Tatiana Kosenceva

• Chiropractor in Omaha, NE
• Providers in Omaha, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.