Individual provider Active NPI

James Kolbeck, D.C

  • Chiropractor
  • Germantown, WI
National Provider Identifier
1205087913
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
W13579-012 Issued in WI
Practice address
W 202 N 10418 Appleton Ave
Suite C
Germantown, WI 53022-3700
Phone
(414) 587-6985
NPI assigned
Oct 1, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X W13579-012 WI Primary

Addresses

Primary practice location

W 202 N 10418 Appleton Ave
Suite C
Germantown, WI 53022-3700

Mailing address

W202 N10418 Appleton Ave
Suite C
Germantown, WI 53022-3700
Phone (414) 587-6985

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
W13579-012WIMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1205087913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W202 N10418 APPLETON AVE",
            "address_2": "SUITE C",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530223700",
            "telephone_number": "414-587-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W 202 N 10418 APPLETON AVE",
            "address_2": "SUITE C",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530223700",
            "telephone_number": "414-587-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLBECK",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "W13579-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.