NPIMap

Organization Active NPI

Spinal-Care Incorporated

Doing business as Koob Chiropractic

  • Chiropractor
  • Kenai, AK
National Provider Identifier
1285150573
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
AA210 Issued in AK
Legal business name
SPINAL-CARE INCORPORATED
Doing business as
Koob Chiropractic
Practice address
10815 Kenai Spur Hwy
Kenai, AK 99611-7848
Phone
(907) 283-5414
Fax
(907) 283-6001
NPI assigned
Aug 17, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Michael David Koob, DCNPI 1194802819
Title
Owner
Phone
(907) 283-5414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X AA210 AK Primary

Addresses

Primary practice location

10815 Kenai Spur Hwy
Kenai, AK 99611-7848

Mailing address

10815 Kenai Spur Hwy
Kenai, AK 99611-7848
Phone (907) 283-5414

Other identifiers 1

IdentifierTypeStateIssuer
1598721MedicaidAK

Other names 1

  • Koob Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170830001732 AK Part B Supplier - Clinic/Group Practice 8820361660 Receives reassigned benefits from 2 practitioners
Practice locations: Kenai, AK

National Provider Directory

National Provider Directory

Locations

10815 Kenai Spur Hwy
Nikiski, AK 99611
Phone (907) 283-5414

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285150573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10815 KENAI SPUR HWY",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117848",
            "telephone_number": "907-283-5414",
            "fax_number": "907-283-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 KENAI SPUR HWY",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117848",
            "telephone_number": "907-283-5414",
            "fax_number": "907-283-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL-CARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KOOB",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-283-5414",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "AA210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598721",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koob Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Koob Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenai, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.