Carl Koterwski, LAT ATC

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

0506379 Issued in NV

Practice address

8203 Vista Colorado St
Las Vegas, NV 89123-4312

Phone

(702) 289-1246

NPI assigned

Aug 28, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472342400000",
    "number": "1558817833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8203 VISTA COLORADO ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891234312",
            "telephone_number": "702-289-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8203 VISTA COLORADO ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891234312",
            "telephone_number": "702-289-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTERWSKI",
        "first_name": "CARL",
        "credential": "LAT ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NV",
            "license": "0506379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dmitriy Kosyagin, MD
• Stuart Joseph Koszer, B.S. PHARM
• John Kot, M.D.
• Marie Kota, APRN
• Kayla Kotake, DPT
• Jennifer Koth
• Binni Kothari
• Priya Nayankumar Kothari, MD
• Tenille Kothe
• Leigh Wilfred Kotkov, PH.D.

• Student in an Organized Health Care Education/Training Program in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Student in an Organized Health Care Education/Training Program in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.