Organization Active NPI

Kohl Chiropractic PLLC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1194054155
Registry record updated Apr 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7860 Issued in AZ
Legal business name
KOHL CHIROPRACTIC PLLC
Practice address
4550 E Bell Rd
BLDG 6 Suite 152
Phoenix, AZ 85032-9306
Phone
(602) 258-9663
NPI assigned
Dec 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2014

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

Authorized official

Name
Dr. Dane B Kohl, D.C.NPI 1841487436
Title
Owner
Phone
(480) 298-9956

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7860 AZ Primary

Addresses

Primary practice location

4550 E Bell Rd
BLDG 6 Suite 152
Phoenix, AZ 85032-9306

Mailing address

20632 N 9TH St
Phoenix, AZ 85024-4109
Phone (480) 298-9956

National Provider Directory

National Provider Directory

Locations

4550 E Bell Rd
Bldg 6
Phoenix, AZ 85032
Phone (602) 258-9663

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1194054155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20632 N 9TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850244109",
            "telephone_number": "480-298-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 E BELL RD",
            "address_2": "BLDG 6 SUITE 152",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850329306",
            "telephone_number": "602-258-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOHL CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-21",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "KOHL",
        "authorized_official_first_name": "DANE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-298-9956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.