Organization Active NPI

Kotkin Chiropractic Center PLC

  • Chiropractor
  • Winchester, VA
National Provider Identifier
1508950452
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001317 Issued in VA
Legal business name
KOTKIN CHIROPRACTIC CENTER PLC
Practice address
1809 Plaza Drive
Winchester, VA 22601
Phone
(540) 667-7300
Fax
(540) 667-0567
NPI assigned
Oct 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michelle H Kotkin, DCNPI 1376520718
Title
Clinic Owner
Phone
(540) 667-7300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 0104001317 VA Primary

Addresses

Primary practice location

1809 Plaza Drive
Winchester, VA 22601

Mailing address

1809 Plaza Drive
Winchester, VA 22607
Phone (540) 667-7300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040207000145 VA Part B Supplier - Clinic/Group Practice 1951294362 Receives reassigned benefits from 1 practitioner
Practice locations: Winchester, VA

National Provider Directory

National Provider Directory

Locations

1809 Plaza Dr
Winchester, VA 22601
Phone (540) 667-7300

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508950452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 PLAZA DRIVE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "22607",
            "telephone_number": "540-667-7300",
            "fax_number": "540-667-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 PLAZA DRIVE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "22601",
            "telephone_number": "540-667-7300",
            "fax_number": "540-667-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOTKIN CHIROPRACTIC CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOTKIN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CLINIC OWNER",
        "authorized_official_telephone_number": "540-667-7300",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.