Active NPI
Kosterman Chiropractic Center, P.a.
- Chiropractor
- Clinton, NC
National Provider Identifier
1528127099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 200001407900
- Legal business name
- KOSTERMAN CHIROPRACTIC CENTER, P.A.
- Practice address
- 401 Cooper Drive
Clinton, NC 28328-2898 - Phone
- (910) 592-2250
- Fax
- (910) 592-6149
- NPI assigned
- Dec 8, 2006
- Organization subpart
- Yes
- Parent organization
- KOSTERMAN CHIROPRACTIC CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Timothy Mark Kosterman
- Title
- Vice President
- Phone
- (910) 592-2250
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 200001407900 | NC | Primary |
Addresses
Primary practice location
401 Cooper Drive
Clinton, NC 28328-2898
Mailing address
401 Cooper Drive
Clinton, NC 28328-2898
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Kosterman Chiropractic Center PA
Locations
401 Cooper Dr
Clinton, NC 28328
Phone (910) 592-2250
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Clinton, NC
- NPI 1396753646
-
- Chiropractor
- Cary, NC
- NPI 1679805600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279670400000",
"number": "1528127099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 COOPER DRIVE",
"city": "CLINTON",
"state": "NC",
"postal_code": "283282898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 COOPER DRIVE",
"city": "CLINTON",
"state": "NC",
"postal_code": "283282898",
"telephone_number": "910-592-2250",
"fax_number": "910-592-6149"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOSTERMAN CHIROPRACTIC CENTER, P.A.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KOSTERMAN CHIROPRACTIC CENTER",
"enumeration_date": "2006-12-08",
"last_updated": "2010-07-21",
"status": "A",
"authorized_official_last_name": "KOSTERMAN",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "910-592-2250",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NC",
"license": "200001407900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.