Michael D Koob, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

AA210 Issued in AK

Practice address

10815 Kenai Spur Hwy
Kenai, AK 99611-7848

Phone

(907) 283-5414

Fax

(907) 283-6016

NPI assigned

Nov 1, 2006

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

Enrolled in AK

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DDAACD/Endpoint/DDAACD

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.

• Spinal-Care Incorporated

  • Chiropractor
  • Kenai, AK
  • NPI 1285150573
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194802819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10815 KENAI SPUR HWY",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117848",
            "telephone_number": "907-283-5414",
            "fax_number": "907-283-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 KENAI SPUR HWY",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117848",
            "telephone_number": "907-283-5414",
            "fax_number": "907-283-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOB",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "AA210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH00086",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Ann Kilby, MSN, MPH, NP-C, APRN
• Hannah Mae Kilfoyle
• Kim Thiele, DO, PC
• Heidi Wynne King
• Sara Irene Koenig
• Kpo Rehabilitation & Sports Medicine
• Stephen Andrew Kronlage, RDN, LDN
• Jena L Kruzick
• Sadie Kruzick
• Sarah Ashley Kurka, PA-C

• Chiropractor in Kenai, AK
• Providers in Kenai, AK by specialty
• Chiropractor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.