Timothy Mark Kosterman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

200001407900 Issued in NC

Practice address

401 Cooper Dr
Clinton, NC 28328-2817

Phone

(910) 592-2250

Fax

(910) 592-6143

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Kosterman Chiropractic Center, P.a.

  • Chiropractor
  • Clinton, NC
  • NPI 1528127099
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1396753646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COOPER DR",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282817",
            "telephone_number": "910-592-2250",
            "fax_number": "910-592-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 COOPER DR",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282817",
            "telephone_number": "910-592-2250",
            "fax_number": "910-592-6143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTERMAN",
        "first_name": "TIMOTHY",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "200001407900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890856C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Freda Marie Kerr, CRNA
• Jessica Michelle King
• Keith S Kinsley, D.C.
• Corina Jazzlyn Knowles
• Kosterman Chiropractic Center, P.a.
• Alexis Krock, DO
• David Gordon Kunzman, DDS
• Donna R Landes, LPCA
• Lane and Associates Xxxii DDS PA
• Sarah Lane, MSCCC/SLP

• Chiropractor in Clinton, NC
• Providers in Clinton, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.