Chad Martin Koterba, D.C., A.T.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5604 Issued in MN

Practice address

6640 Shady Oak Rd Ste 325
Eden Prairie, MN 55344-7834

Phone

(952) 541-0148

Fax

(952) 767-2422

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ultimate Health Chiropractic, PLLC

  • Chiropractor
  • Eden Prairie, MN
  • NPI 1225300676
  Medicare reassignment NPD Authorized official
• The Arne Clinic P.a.

  • Chiropractor
  • Minnetonka, MN
  • NPI 1801085931
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1518014125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6640 SHADY OAK RD STE 325",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447834",
            "telephone_number": "952-541-0148",
            "fax_number": "952-767-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 SHADY OAK RD STE 325",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447834",
            "telephone_number": "952-541-0148",
            "fax_number": "952-767-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTERBA",
        "first_name": "CHAD",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "D.C., A.T.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Kolman, PSYD
• Taylor Koloc, DC, MS
• Thomas Kosgei, PHARMD
• Abdurahman Dahir Koshin
• Anna M Kostanecka, M.D.
• Zoe A Kothlow
• Melinda Kounthapanya, PHARM.D.
• Philip D. Kousoubris, M.D.
• Dustin Anthony Kovach, PA-C
• Joseph L Kovar, M.D.

• Chiropractor in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.