Active NPI
Christopher Jonathan Koch, DC
- Chiropractor
- Peoria, AZ
National Provider Identifier
1265569834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5620
- Practice address
- 7717 W Deer Valley Rd
Suite 135
Peoria, AZ 85382-2102 - Phone
- (623) 512-4040
- Fax
- (623) 512-4040
- NPI assigned
- Feb 28, 2007
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5620 | AZ | Primary |
Addresses
Primary practice location
7717 W Deer Valley Rd
Suite 135
Peoria, AZ 85382-2102
Mailing address
7717 W Deer Valley Rd
Suite 135
Peoria, AZ 85382-2102
Phone (623) 512-4040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0243770 | Other | AZ | BLUE CROSS BLUE SHIELD |
| 23-22036 | Other | AZ | STATE COMPENSATION FUND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7717 W Deer Valley Rd
Suite 135
Peoria, AZ 85382-2102
Phone (623) 512-4040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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 and National Provider Directory roles.
-
- Chiropractor
- Peoria, AZ
- NPI 1689811051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348099200000",
"number": "1265569834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7717 W DEER VALLEY RD",
"address_2": "SUITE 135",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853822102",
"telephone_number": "623-512-4040",
"fax_number": "623-512-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7717 W DEER VALLEY RD",
"address_2": "SUITE 135",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853822102",
"telephone_number": "623-512-4040",
"fax_number": "623-512-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "CHRISTOPHER",
"middle_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2012-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "5620",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AZ0243770",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE COMPENSATION FUND",
"identifier": "23-22036",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.