Active NPI
Beth Joy Kozak, D.C.
- Chiropractor
- Palm Beach Gardens, FL
National Provider Identifier
1265733604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH7712
- Practice address
- 4043 Hood Road
Palm Beach Gardens, FL 33410-2171 - Phone
- (561) 622-2466
- Fax
- (561) 622-2606
- NPI assigned
- Nov 16, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH7712 | FL | Primary |
| Nutrition Chiropractor | 111NN1001X | CH7712 | FL |
Addresses
Primary practice location
4043 Hood Road
Palm Beach Gardens, FL 33410-2171
Mailing address
4043 Hood Road
Palm Beach Gardens, FL 33410-2171
Phone (561) 622-2466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5540 Pga Blvd
Suite 100
Palm Beach Gardens, FL 33418-3987
Phone (561) 596-2714
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH7712 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahava-5772, LLC | Chiropractor | Current | Accepting new patients |
Locations
5540 Pga Blvd
Ste 100
Palm Beach Gardens, FL 33418
Phone (561) 596-2714
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
- Palm Beach Gardens, FL
- NPI 1417403221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1265733604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4043 HOOD ROAD",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334102171",
"telephone_number": "561-622-2466",
"fax_number": "561-622-2606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4043 HOOD ROAD",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334102171",
"telephone_number": "561-622-2466",
"fax_number": "561-622-2606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZAK",
"first_name": "BETH",
"middle_name": "JOY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-16",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH7712",
"primary": true
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "FL",
"license": "CH7712",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.