Organization Active NPI

Kotlerman Family Health LLC

  • Chiropractor
  • Burlington, WA
National Provider Identifier
1285256602
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KOTLERMAN FAMILY HEALTH LLC
Practice address
320 E Fairhaven Ave Ste 209
Burlington, WA 98233-1700
Phone
(360) 661-9029
NPI assigned
May 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Authorized official

Name
Zachary Kotlerman, DC
Title
Owner
Phone
(310) 663-5265

Specialties & licenses 1

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

Addresses

Primary practice location

320 E Fairhaven Ave Ste 209
Burlington, WA 98233-1700

Mailing address

1100 Greenleaf Ave
Burlington, WA 98233-2017
Phone (310) 663-5265

Other names 1

  • Kotlerman Family Chiropractic Former legal business name

National Provider Directory

National Provider Directory

Locations

106 S Pine St
Burlington, WA 98233
Phone (310) 663-5265

320 E Fairhaven Ave
Ste 209
Burlington, WA 98233
Phone (360) 661-9029

NPI Registry JSON

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1285256602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 GREENLEAF AVE",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982332017",
            "telephone_number": "310-663-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E FAIRHAVEN AVE STE 209",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982331700",
            "telephone_number": "360-661-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOTLERMAN FAMILY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "KOTLERMAN",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-663-5265",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kotlerman Family Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Burlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.