David C Kolbaba, D.C., CCN, DACBN

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

038-004839 Issued in IL

Practice address

606 W Main St
West Dundee, IL 60118-2026

Phone

(847) 428-8850

Fax

(847) 428-8887

NPI assigned

Jan 16, 2007

Last updated

Feb 28, 2013By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. David C. Kolbaba and Associates, IncGroup PAC ID 5991808792, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Dr. David C. Kolbaba & Associates, Inc

  • Nutrition Chiropractor
  • West Dundee, IL
  • NPI 1437201829
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1639220353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 W MAIN ST",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601182026",
            "telephone_number": "847-428-8850",
            "fax_number": "847-428-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 W MAIN ST",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601182026",
            "telephone_number": "847-428-8850",
            "fax_number": "847-428-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLBABA",
        "first_name": "DAVID",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C., CCN, DACBN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "IL",
            "license": "038-004839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIPLOMATE CLINICAL NUTRIT",
            "identifier": "3500",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie Kilvington, LCSW
• King Family Wellness LLC
• Katie S King, D.C.
• Deborah L Kivett, LCSW
• Janice Pulchart Knapp, LCSW
• Arash Koochek, M.D.
• James John Kotleba, LIC CLINICAL PSYCHOL
• Klaudia Kulpa-Lindgren, OT
• Philip G Lambruschi, M.D.
• Armani Lang

• Nutrition Chiropractor in West Dundee, IL
• Providers in West Dundee, IL by specialty
• Nutrition Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.