Michael Andrew Koehn, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

750 Issued in SD

Practice address

325 Omaha St
Suite 5
Rapid City, SD 57701-2803

Phone

(605) 718-5329

Fax

(605) 718-5334

NPI assigned

Dec 7, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Lecy Family Chiropractic, P.C.

  • Chiropractor
  • Rapid City, SD
  • NPI 1518111665
  NPD (past)

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1598824443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 OMAHA ST",
            "address_2": "SUITE 5",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012803",
            "telephone_number": "605-718-5329",
            "fax_number": "605-718-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 OMAHA ST",
            "address_2": "SUITE 5",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012803",
            "telephone_number": "605-718-5329",
            "fax_number": "605-718-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHN",
        "first_name": "MICHAEL",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE #",
            "identifier": "P00235015",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBC PPO#",
            "identifier": "0007238",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR WORKCOMP #",
            "identifier": "192934800",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Beth Kobza Halle, MA
• Koch Medicine LLC
• Jason R Koch, PA-C
• Sherri Danelle Koch, MD
• Vicki Colleen Koebernick, D.C.
• Amanda Koepp
• Emma Koetter
• Bonnie Catherine Kohl, PT, DPT
• Peter Kolb
• Savannah Koletzky

• Chiropractor in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.