Individual provider Active NPI

Raymond Stephen Kociolek, DC, MS, ATC

  • Chiropractor
  • Elizabethtown, KY
National Provider Identifier
1407369036
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5599 Issued in KY
Practice address
181 Towne Dr
Elizabethtown, KY 42701-8460
Phone
(270) 900-4030
Fax
(270) 900-0489
NPI assigned
Nov 6, 2017
Last updated
Oct 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5599 KY Primary
Athletic Trainer 2255A2300X NU

Addresses

Primary practice location

181 Towne Dr
Elizabethtown, KY 42701-8460

Mailing address

181 Towne Dr
Elizabethtown, KY 42701-8460
Phone (270) 900-4030

Other practice location 1

809 N Perry St Apt 125
Davenport, IA 52803-7603
Phone (515) 783-6288

Other practice location 2

651 US 31W Byp # 202
Bowling Green, KY 42101-4977
Phone (515) 783-6288

Other identifiers 1

IdentifierTypeStateIssuer
7100599360MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190520002981 KY Practitioner - Chiropractic 4284977943 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Health Centers of Middletown LLCGroup PAC ID 5890150585, 3 clinicians

Practice addresses (Care Compare)

727 Speckman Rd
Louisville, KY 40243-1876
Phone (502) 250-2003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Core Health Centers of Middletown LLC Chiropractor CurrentSince Jul 10, 2025 Accepting new patients
New Beginnings Chiropractic of Willisburg PLLC Chiropractor CurrentSince Apr 1, 2025 Accepting new patients
Kociolek Chiropractic Center, LLC Chiropractor CurrentSince Jan 3, 2025 Accepting new patients
Clear View Chiropractic, PLLC Chiropractor CurrentSince Jul 10, 2025 Accepting new patients

Locations

100 Broadway
Chaplin, KY 40012

4452 Dixie Hwy
Louisville, KY 40216
Phone (502) 448-5241

727 Speckman Rd
Louisville, KY 40243
Phone (502) 208-9290

2084 Main St
Willisburg, KY 40078
Phone 8593759200 ext. 232

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1407369036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 TOWNE DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018460",
            "telephone_number": "270-900-4030",
            "fax_number": "270-900-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 TOWNE DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018460",
            "telephone_number": "270-900-4030",
            "fax_number": "270-900-0489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 N Perry St Apt 125",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528037603",
            "country_code": "US",
            "telephone_number": "515-783-6288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "651 US 31W Byp # 202",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421014977",
            "country_code": "US",
            "telephone_number": "515-783-6288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOCIOLEK",
        "first_name": "RAYMOND",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DC, MS, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5599",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100599360",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.