Veniamin Korikov, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3665 Issued in SC

Practice address

1230 John B White Sr Blvd
Spartanburg, SC 29306-3929

Phone

(864) 574-6840

Fax

(864) 587-8227

NPI assigned

Feb 22, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Advantage Healthcare of Spartanburg

  • Chiropractor
  • Spartanburg, SC
  • NPI 1245337526
  Medicare reassignment NPD

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1346789419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293040041",
            "telephone_number": "864-574-6840",
            "fax_number": "864-587-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 JOHN B WHITE SR BLVD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063929",
            "telephone_number": "864-574-6840",
            "fax_number": "864-587-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORIKOV",
        "first_name": "VENIAMIN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Lynn Konopaski, LPC
• Kevin Michael Konz, PT
• Ladia M Konz, MD
• Carol A Kooistra, MD
• Rupa Koothirezhi, MD
• Donna-Marie Koroma, MD
• Amala Koshy
• Jason Kotzin, PA-C
• Mark Kouame
• Paul D Kountz Jr., MD

• All providers in Spartanburg, SC
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.

Verify at the official NPI Registry.