Individual provider Active NPI

Katie Brooke Dossi, DC

  • Chiropractor
  • Wooster, OH
National Provider Identifier
1144274192
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3661 Issued in OH
Practice address
3727 Friendsville Rd
Suite 1
Wooster, OH 44691-7131
Phone
(330) 202-2225
Fax
(330) 202-3410
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3661 OH Primary

Addresses

Primary practice location

3727 Friendsville Rd
Suite 1
Wooster, OH 44691-7131

Mailing address

1761 Beall Ave
Wooster, OH 44691-2342
Phone (330) 263-8763

Other identifiers 1

IdentifierTypeStateIssuer
4173791MedicaidOH

Other names 1

  • Dr. Katie Brooke Holland Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Health and Wellness CenterGroup PAC ID 5597938852, 4 clinicians

Practice addresses (Care Compare)

201 Great Oaks TRL
Wadsworth, OH 44281-9430
Phone (330) 336-9500

Hospital & facility affiliations

  • Wooster Community Hospital Hospital, Wooster, OH, CCN 360036

Merit-based Incentive Payment System (MIPS)

Final score
81.09 of 100Reported as group
Quality
59.24
Promoting interoperability
99
Improvement activities
40
Cost
78.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3661OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomington Medical Services LLC CurrentSince Jul 1, 2016 Accepting new patients
Northwest Lifeforce Corporation Chiropractor PastSince Jun 16, 2011 Accepting new patients
Preston Chiropractic, LLC Chiropractor PastSince Feb 1, 2001 Accepting new patients
Southeast Chiropractic and Therapy Center Inc Chiropractor Past Accepting new patients

Locations

1761 Beall Ave
Wooster, OH 44691
Phone (330) 263-8100

3727 Friendsville Rd
Unit 6
Wooster, OH 44691
Phone (330) 263-8360

3727 Friendsville Rd
Unit 1
Wooster, OH 44691
Phone (330) 202-2225

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1144274192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 BEALL AVE",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912342",
            "telephone_number": "330-263-8763",
            "fax_number": "330-263-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 FRIENDSVILLE RD",
            "address_2": "SUITE 1",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917131",
            "telephone_number": "330-202-2225",
            "fax_number": "330-202-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSSI",
        "first_name": "KATIE",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4173791",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "HOLLAND",
            "middle_name": "BROOKE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.