John Scott Kozy, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00003258 Issued in WA

Practice address

14208 NW 3Rd CT
#1
Vancouver, WA 98685-5789

Phone

(360) 571-3464

Fax

(360) 571-5675

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

Yes

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 WA

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1194933010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14208 NW 3RD CT",
            "address_2": "#1",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986855789",
            "telephone_number": "360-571-3464",
            "fax_number": "360-571-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14208 NW 3RD CT",
            "address_2": "#1",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986855789",
            "telephone_number": "360-571-3464",
            "fax_number": "360-571-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZY",
        "first_name": "JOHN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0111017",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Melissa Kozak, F.N.P, ARNP-BC
• Taylor Kozaritz, DC
• Judith Ann Kozicki, ARNP
• Malgorzata I Kozinski, MD
• Adam Kozow Yamashita
• Abby Zoe Kraayeveld, MA, CCC-SLP
• Madeline Krager
• Colleen Joanne Kragness, BA, CDPII
• Nicholas Jeffrey Kraley
• Rene Kramer

• Chiropractor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.