NPIMap

Organization Active NPI

Koh Healthcare

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1396937876
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8306 Issued in TX
Legal business name
KOH HEALTHCARE
Practice address
2035 Royal LN
280
Dallas, TX 75229-3267
Phone
(214) 352-6677
NPI assigned
Aug 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

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

Authorized official

Name
Dr. David Koh, D.C.
Title
President
Phone
(214) 352-6677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8306 TX Primary

Addresses

Primary practice location

2035 Royal LN
280
Dallas, TX 75229-3267

Mailing address

2035 Royal LN
280
Dallas, TX 75229-3267
Phone (214) 352-6677

Other names 1

  • Mirae Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Koh Healthcare Systems Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1396937876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 ROYAL LN",
            "address_2": "280",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752293267",
            "telephone_number": "214-352-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 ROYAL LN",
            "address_2": "280",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752293267",
            "telephone_number": "214-352-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOH HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "KOH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-352-6677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mirae Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.