Active NPI
Joshua Layne Koch, D.C.
- Rehabilitation Chiropractor
- Midwest City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 3870
- Practice address
- 1712 S Post Rd Ste B
Midwest City, OK 73130-6614 - Phone
- (405) 455-7555
- Fax
- (405) 455-7556
- NPI assigned
- Feb 4, 2008
- Last updated
- Nov 13, 2018
- 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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 3870 | OK | Primary |
Addresses
Primary practice location
1712 S Post Rd Ste B
Midwest City, OK 73130-6614
Mailing address
2304 S Post Rd
Midwest City, OK 73130-7524
Phone (405) 455-7555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2304 S Post Rd
Midwest City, OK 73130-7524
Phone (405) 455-7555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3870 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Chiropractic and Rehabilitation Clinic P L L C | Rehabilitation | Current | Accepting new patients |
Locations
1712 S Post Rd
Ste B
Midwest City, OK 73130
Phone (405) 394-4831
2304 S Post Rd
Oklahoma City, OK 73130
Phone (405) 455-7555
5601 SE 67th St
Ste B
Oklahoma City, OK 73135
Phone (405) 455-7101
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Chiropractor
- Midwest City, OK
- NPI 1972781722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542067200000",
"number": "1215115068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2304 S POST RD",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731307524",
"telephone_number": "405-455-7555",
"fax_number": "405-455-7556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1712 S POST RD STE B",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731306614",
"telephone_number": "405-455-7555",
"fax_number": "405-455-7556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "JOSHUA",
"middle_name": "LAYNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-04",
"last_updated": "2018-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "OK",
"license": "3870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.