Christian Kotulak, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

697-0703 Issued in NH

Practice address

1 Commons Dr # F
Unit 37
Londonderry, NH 03053-3441

Phone

(603) 437-0400

Fax

(603) 437-0443

NPI assigned

May 28, 2006

Last updated

Jan 30, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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 NH

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New England Chiropractic PLLC

  dba Derry Chiropractic

  • Chiropractor
  • Londonderry, NH
  • NPI 1780858506
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1649227117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COMMONS DR # F",
            "address_2": "UNIT 37",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533441",
            "telephone_number": "603-437-0400",
            "fax_number": "603-437-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COMMONS DR # F",
            "address_2": "UNIT 37",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533441",
            "telephone_number": "603-437-0400",
            "fax_number": "603-437-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTULAK",
        "first_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "697-0703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30253253",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Diane Klain, LCMHC
• Alicia M. Kleczkowski, A.P.R.N.
• Molly Clare Koon
• Melissa Ann Kostan, MS, OTR/L
• Surekha Kota
• Vadim Kravets, OTR/L
• Nanarao Krothapalli, D.M.D
• Suzanne Kuchel, PH.D.
• Elizabeth Kuhlmann
• KW Counseling LLC

• Chiropractor in Londonderry, NH
• Providers in Londonderry, NH by specialty
• Chiropractor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.