Organization Active NPI

Dr. Koloski Chiropractic, LLC

  • Chiropractor
  • Annapolis, MD
National Provider Identifier
1396407342
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DR. KOLOSKI CHIROPRACTIC, LLC
Practice address
2024 West St Ste 202
Annapolis, MD 21401-3555
Phone
(240) 439-9764
NPI assigned
Oct 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Authorized official

Name
John Koloski, DCNPI 1235412859
Title
Owner
Phone
(240) 439-9764

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 Primary

Addresses

Primary practice location

2024 West St Ste 202
Annapolis, MD 21401-3555

Mailing address

2024 West St Ste 202
Annapolis, MD 21401-3555
Phone (240) 439-9764

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Koloskichiro Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230109002659 MD Part B Supplier - Clinic/Group Practice 5193103208 Receives reassigned benefits from 1 practitioner
Practice locations: Annapolis, MD

National Provider Directory

National Provider Directory

Locations

2024 West St
Ste 202
Annapolis, MD 21401
Phone (240) 439-9764

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": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1396407342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 WEST ST STE 202",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013555",
            "telephone_number": "240-439-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 WEST ST STE 202",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013555",
            "telephone_number": "240-439-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KOLOSKI CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "KOLOSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-439-9764",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Koloskichiro",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "2024 West St Ste 202",
            "city": "Annapolis",
            "state": "MD",
            "country_code": "US",
            "postal_code": "214013555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.