Amy Koch, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-010376 Issued in IL

Practice address

1851 Schoettler Rd
Chesterfield, MO 63017-5529

Phone

(636) 230-1798

NPI assigned

May 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Logan UniversityGroup PAC ID 5698660322, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Logan University

  • Chiropractor
  • Chesterfield, MO
  • NPI 1194765941
  Medicare reassignment Care Compare group NPD
• Gray Family Chiropractic PLLC

  • Chiropractor
  • Chesterfield, MO
  • NPI 1811312663
  NPD (past)
• Amy C Glaser DC PC

  • Chiropractor
  • Litchfield, IL
  • NPI 1407954092
  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1649227067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630260735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 SCHOETTLER RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175529",
            "telephone_number": "636-230-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010376",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2013004583",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "06832013",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "61032030",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurencia Antonette Klipfel, RN, APRN-BC
• Theresa Klosterman, PHARMD
• Amy Michelle Knackstedt
• Michael Kneemueller
• Hunter Knight, P.T.
• Maggie Marie Koenig, FNP
• Meghan Koennecke, DMD
• Rebecca Koerner
• Amber Leigh Koester, O.D.
• Richard L Kofkoff, MD

• Chiropractor in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.