Active NPI
William P Kotheimer, DC
- Chiropractor
- Milford, OH
National Provider Identifier
1194894881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 696
- Practice address
- 201 Main St
Milford, OH 45150-0123 - Phone
- (513) 871-4092
- Fax
- (513) 871-4092
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 696 | OH | Primary |
Addresses
Primary practice location
201 Main St
Milford, OH 45150-0123
Mailing address
201 Main St
Milford, OH 45150-0123
Phone (513) 871-4092
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34123263900 | Other | WORKERS COMP | |
| 000000025485 | Other | ANTHEM BC BS INS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 696 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194894881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 MAIN ST",
"city": "MILFORD",
"state": "OH",
"postal_code": "451500123",
"telephone_number": "513-871-4092",
"fax_number": "513-871-4092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 MAIN ST",
"city": "MILFORD",
"state": "OH",
"postal_code": "451500123",
"telephone_number": "513-871-4092",
"fax_number": "513-871-4092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTHEIMER",
"first_name": "WILLIAM",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "696",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP",
"identifier": "34123263900",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC BS INS",
"identifier": "000000025485",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Milford, OH
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.