Active NPI
Klaude P Kocan, D.C.
- Chiropractor
- Ft Mitchell, KY
National Provider Identifier
1164428546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4464
- Practice address
- 2182 Dixie Hwy
Ft Mitchell, KY 41017-2902 - Phone
- (859) 344-6001
- Fax
- (859) 344-6005
- NPI assigned
- Jun 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4464 | KY | Primary |
Addresses
Primary practice location
2182 Dixie Hwy
Ft Mitchell, KY 41017-2902
Mailing address
2182 Dixie Hwy
Ft Mitchell, KY 41017-2902
Phone (859) 344-6001
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85000461 | Medicaid | KY | |
| 6104901 | Other | KY | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041020000033 | KY | Practitioner - Chiropractic | 3072573849 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2182 Dixie Hwy
Ft Mitchell, KY 41017-2902
Phone (859) 344-6001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4464 | KY | MD | Chiropractor |
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": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317772800000",
"number": "1164428546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2182 DIXIE HWY",
"city": "FT MITCHELL",
"state": "KY",
"postal_code": "410172902",
"telephone_number": "859-344-6001",
"fax_number": "859-344-6005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2182 DIXIE HWY",
"city": "FT MITCHELL",
"state": "KY",
"postal_code": "410172902",
"telephone_number": "859-344-6001",
"fax_number": "859-344-6005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCAN",
"first_name": "KLAUDE",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2011-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4464",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85000461",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "6104901",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ft Mitchell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.