Active NPI
Mark Kochevar, D.C.
- Chiropractor
- Broomfield, CO
National Provider Identifier
1346348034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3554
- Practice address
- 11880 Upham St Unit F
Broomfield, CO 80020-2786 - Phone
- (303) 465-9464
- NPI assigned
- Sep 20, 2006
- 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 | 3554 | CO | Primary |
Addresses
Primary practice location
11880 Upham St Unit F
Broomfield, CO 80020-2786
Mailing address
11880 Upham St Unit F
Broomfield, CO 80020-2786
Phone (303) 465-9464
Other practice location 1
2000 W 120th Avenue Ste 5
Westminster, CO 80234-2495
Phone (303) 465-9464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3554 | CO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NPI 1720703960 | Chiropractor | Current | Accepting new patients |
Locations
11880 Upham St
Unit F
Broomfield, CO 80020
Phone (303) 465-9464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664841600000",
"number": "1346348034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11880 UPHAM ST UNIT F",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800202786",
"telephone_number": "303-465-9464",
"fax_number": "303-465-0126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11880 UPHAM ST UNIT F",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800202786",
"telephone_number": "303-465-9464"
}
],
"practiceLocations": [
{
"address_1": "2000 W 120th Avenue Ste 5",
"address_purpose": "LOCATION",
"city": "Westminster",
"state": "CO",
"postal_code": "802342495",
"country_code": "US",
"telephone_number": "303-465-9464",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOCHEVAR",
"first_name": "MARK",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "3554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broomfield, CO
- Mary E Kliewer, PHARMD
- Gregory Alan Klob, RPH
- Laura 'Laurie' VH Knight, B.A. PSYCHOTHERAPIST
- Sara Knorr
- Nancy Jean Knudtsen, CD (DONA)
- Breana Lynn Koffler, PHYSICAL THERAPIST
- Elisabeth Margarita Komlos-Hrobsky, PH.D
- Konda Chiropractic LLC (Chiro Now)
- Stephanie Konter-O'Hara
- Holly Kosanovich, MS, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.