Chelsea Mae Kohutek, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

15046 Issued in TX

Practice address

517 N Carrier Pkwy
Grand Prairie, TX 75050-5484

Phone

(214) 518-6319

Fax

(214) 518-6396

NPI assigned

Jan 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Pecan Country Chiropractic LLCGroup PAC ID 2567788110, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pecan Country Chiropractic, LLC

  • Chiropractor
  • Seguin, TX
  • NPI 1699181586
  Medicare reassignment Care Compare group NPD
• North Texas Family Care, PLLC

  • Family Medicine Physician
  • Hurst, TX
  • NPI 1235509621
  NPD (past)

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1215689765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W MAGNOLIA AVE APT 516",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047703",
            "telephone_number": "830-203-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 N CARRIER PKWY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505484",
            "telephone_number": "214-518-6319",
            "fax_number": "214-518-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHUTEK",
        "first_name": "CHELSEA",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephat Omweno Kirochi, RN
• Electra M Kitchin, LPC-S
• Jessica Marie Knox
• Harita Kodali, DMD
• Stephen A Koger, OT
• Sowmya Kokku
• Omolayo Kolleade
• Titilope J Komolafe
• Konaniah Medical Equipment & Supplies LLC
• Moya Nadege Koua

• Chiropractor in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.