Individual provider Active NPI

Steven P Koester, D.C.

  • Chiropractor
  • Goodlettsville, TN
National Provider Identifier
1457390635
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2810 Issued in TN
Practice address
3050 Business Park Cir Ste 103
Goodlettsville, TN 37072-3658
Phone
(615) 851-3900
Fax
(615) 851-3933
NPI assigned
Jun 5, 2006
Last updated
Jul 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06812 IA
Chiropractor 111N00000X 2810 TN Primary

Addresses

Primary practice location

3050 Business Park Cir Ste 103
Goodlettsville, TN 37072-3658

Mailing address

403 Long Hollow Pike, Suite 206
Goodlettsville, TN 37072-3658
Phone (615) 851-3900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150317001530 TN Practitioner - Chiropractic 8022040815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3050 Business Park Cir
Suite 103
Goodlettsville, TN 37072-3548

403 Long Hollow Pike
Suite 206
Goodlettsville, TN 37072-1814
Phone (615) 851-3900

403 Long Hollow Pike
Suite 206
Goodlettsville, TN 37072-1905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06812IAMDClinical Social Worker
2810TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Long Hollow Chiropractic LLC Chiropractor CurrentSince Nov 15, 2014 Accepting new patients
Urbandale Chiropractic DRS Shad B & Jody L England Chiropractor Past Accepting new patients

Locations

3050 Business Park Cir
Ste 103
Goodlettsvlle, TN 37072
Phone (615) 264-9313

403 Long Hollow Pike
Ste 206
Goodlettsvlle, TN 37072
Phone (615) 851-3900

Organizations & group practices 2

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1457390635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 LONG HOLLOW PIKE, SUITE 206",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723658",
            "telephone_number": "615-851-3900",
            "fax_number": "615-851-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 BUSINESS PARK CIR STE 103",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723658",
            "telephone_number": "615-851-3900",
            "fax_number": "615-851-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOESTER",
        "first_name": "STEVEN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06812",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.