Mountain Spring Chiropractic Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MOUNTAIN SPRING CHIROPRACTIC CENTER INC

Practice address

1648 New Hope Crimora Road
Crimora, VA 24431-0246

Phone

(540) 943-0022

Fax

(540) 942-3330

NPI assigned

Mar 30, 2007

Last updated

Apr 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Kautz Koch, DC

Title

Owner

Phone

(540) 943-0022

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth V Kautz Koch, D.C.

  • Chiropractor
  • Fishersville, VA
  • NPI 1023192374
  Medicare reassignment NPD

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1407976806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246",
            "city": "CRIMORA",
            "state": "VA",
            "postal_code": "244310246",
            "telephone_number": "540-943-0022",
            "fax_number": "540-942-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 NEW HOPE CRIMORA ROAD",
            "city": "CRIMORA",
            "state": "VA",
            "postal_code": "244310246",
            "telephone_number": "540-943-0022",
            "fax_number": "540-942-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SPRING CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "KAUTZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-943-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "261199",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "269523",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Jo Brinkley, LCSW
• Esther Snider, CPM, LM

• Chiropractor in Crimora, VA
• Providers in Crimora, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.