Active NPI
Alan W. Koehler, D.C.
- Chiropractor
- Anaheim, CA
National Provider Identifier
1265556880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC24156
- Practice address
- 1230 N Jenifer Dr
Anaheim, CA 92807-2501 - Phone
- (714) 489-5488
- Fax
- (714) 881-5926
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | DC24156 | CA | Primary |
Addresses
Primary practice location
1230 N Jenifer Dr
Anaheim, CA 92807-2501
Mailing address
17853 Santiago Blvd Ste 107-142
Villa Park, CA 92861-4113
Phone (714) 489-5488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120319000827 | CA | Practitioner - Chiropractic | 6204096837 | Practice locations: Orange, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC24156 | CA | MD | Chiropractor |
| 24156 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1265556880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17853 SANTIAGO BLVD STE 107-142",
"city": "VILLA PARK",
"state": "CA",
"postal_code": "928614113",
"telephone_number": "714-489-5488",
"fax_number": "714-881-5926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 N JENIFER DR",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928072501",
"telephone_number": "714-489-5488",
"fax_number": "714-881-5926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEHLER",
"first_name": "ALAN",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC24156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.