Individual provider Active NPI

Kevin L. L. Kopriva, D.C.

  • Chiropractor
  • Santa Fe, NM
National Provider Identifier
1568596187
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
897 Issued in NM
Practice address
6 Calle Medico
Suite #1
Santa Fe, NM 87505-4761
Phone
(505) 982-2553
NPI assigned
Mar 15, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 897 NM Primary

Addresses

Primary practice location

6 Calle Medico
Suite #1
Santa Fe, NM 87505-4761

Mailing address

6 Calle Medico
Suite #1
Santa Fe, NM 87505-4761
Phone (505) 982-2553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
897NMMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Noesis Integrative Health Inc PastSince Aug 6, 2019 Accepting new patients
Krossroads Integrative Health and Recovery Solutions Inc PastSince Sep 21, 2022 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568596187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CALLE MEDICO",
            "address_2": "SUITE #1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054761",
            "telephone_number": "505-982-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CALLE MEDICO",
            "address_2": "SUITE #1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054761",
            "telephone_number": "505-982-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPRIVA",
        "first_name": "KEVIN L.",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.