Nicholas P Kokx, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301039280 Issued in MI

Practice address

4735 West River Dr.
Comstock Park, ID 49321-9607

Phone

(616) 784-9400

Fax

(616) 784-5167

NPI assigned

May 10, 2006

Last updated

Jul 24, 2015By the provider in NPPES

Sex

Male

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kent Pediatrics, PC

  • Pediatrics Physician
  • Comstock Park, MI
  • NPI 1871689638
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1174572671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 WEST RIVER DR.",
            "city": "COMSTOCK PARK",
            "state": "MI",
            "postal_code": "493219607",
            "telephone_number": "616-784-9400",
            "fax_number": "616-784-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 WEST RIVER DR.",
            "city": "COMSTOCK PARK",
            "state": "ID",
            "postal_code": "493219607",
            "telephone_number": "616-784-9400",
            "fax_number": "616-784-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKX",
        "first_name": "NICHOLAS",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301039280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2675237",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.