Individual provider Active NPI

Jeffrey Alan Kowachik, D.C.

  • Chiropractor
  • Centennial, CO
National Provider Identifier
1457449928
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0006915 Issued in CO
Practice address
6881 S Holly Cir Ste 207
Centennial, CO 80112-1145
Phone
(303) 221-3600
Fax
(720) 529-0222
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR.0006915 CO Primary

Addresses

Primary practice location

6881 S Holly Cir Ste 207
Centennial, CO 80112-1145

Mailing address

6881 S Holly Cir Ste 207
Centennial, CO 80112-1145
Phone (303) 221-3600

Other identifiers 1

IdentifierTypeStateIssuer
382178100MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230503000778 CO Practitioner - Chiropractic 6709972300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR.0006915COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Arapahoe Alternative Healthcare Services Chiropractor CurrentSince Apr 17, 2023 Accepting new patients
Realigning Your Health PC Chiropractor Current Accepting new patients
Abcg, LLC Chiropractor Past Accepting new patients
Patrick Kolwaite Chiropractor Past Accepting new patients
Farkas Chiropractic Clinic PA Chiropractor Past Accepting new patients

Locations

6881 S Holly Cir
Ste 207
Centennial, CO 80112
Phone (303) 221-3600

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1457449928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6881 S HOLLY CIR STE 207",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121145",
            "telephone_number": "303-221-3600",
            "fax_number": "720-529-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6881 S HOLLY CIR STE 207",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121145",
            "telephone_number": "303-221-3600",
            "fax_number": "720-529-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWACHIK",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0006915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382178100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.