Organization Active NPI

Koziarski Chiropractic, LLC

  • Chiropractor
  • Erie, PA
National Provider Identifier
1356844807
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010551 Issued in PA
Legal business name
KOZIARSKI CHIROPRACTIC, LLC
Practice address
1535 W 8TH St Ste a-5
Erie, PA 16505-5005
Phone
(814) 897-3102
NPI assigned
Mar 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Authorized official

Name
Karin Toner Pierce
Title
Billing MRG
Phone
(610) 942-4440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC010551 PA Primary

Addresses

Primary practice location

1535 W 8TH St Ste a-5
Erie, PA 16505-5005

Mailing address

1535 W 8TH St Ste a-5
Erie, PA 16505-5005
Phone (814) 897-3102

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180605001571 PA Part B Supplier - Clinic/Group Practice 9032474440 Receives reassigned benefits from 1 practitioner
Practice locations: Erie, PA

National Provider Directory

National Provider Directory

Locations

1535 W 8th St
Ste A5
Erie, PA 16505
Phone (814) 456-4200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1356844807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 W 8TH ST STE A-5",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165055005",
            "telephone_number": "814-897-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 W 8TH ST STE A-5",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165055005",
            "telephone_number": "814-897-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOZIARSKI CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "TONER PIERCE",
        "authorized_official_first_name": "KARIN",
        "authorized_official_title_or_position": "BILLING MRG",
        "authorized_official_telephone_number": "610-942-4440"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.