Dr. David C. Kolbaba & Associates, Inc

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

038004839 Issued in IL

Legal business name

DR. DAVID C. KOLBABA & ASSOCIATES, INC

Practice address

606 W Main St
West Dundee, IL 60118-2026

Phone

(847) 428-8850

Fax

(847) 428-8887

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David C. Kolbaba, D.C., CCN, DACBNNPI 1639220353

Title

President

Phone

(847) 428-8850

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David C Kolbaba, D.C., CCN, DACBN

  • Nutrition Chiropractor
  • West Dundee, IL
  • NPI 1639220353
  Medicare reassignment Care Compare group Authorized official
• Timothy Charles Kolbaba, DC

  • Chiropractor
  • Mount Prospect, IL
  • NPI 1891932497
  Medicare reassignment Care Compare group NPD
• Thomas Mitchell, DC

  • Chiropractor
  • West Dundee, IL
  • NPI 1336194679
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1437201829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 W MAIN ST",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601182026",
            "telephone_number": "847-428-8850",
            "fax_number": "847-428-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 W MAIN ST",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601182026",
            "telephone_number": "847-428-8850",
            "fax_number": "847-428-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DAVID C. KOLBABA & ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "KOLBABA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-428-8850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., CCN, DACBN"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "IL",
            "license": "038004839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIPLOMATE CLINCL NUTRITN",
            "identifier": "3500",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Dery, MA, LPC
• Marilyn Destefano, LCSW
• Margaret Elizabeth Dix, MSW, LSW
• DM Cameron DC PC
• Dr Alexander T Mera PC
• Dr. Zoran D. Stojanovic & Associates, LTD
• DRS Rosenberg & Lambruschi LTD
• Dundee Medical PLLC
• Justin Seth Eadler, D.C.
• Alisha Elackattu, PHARMD

• Nutrition Chiropractor in West Dundee, IL
• Providers in West Dundee, IL by specialty
• Nutrition Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.