Korey Dean Kothmann, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 7865 Issued in TX

Practice address

5407 4TH St
Suite F
Lubbock, TX 79416-4348

Phone

(806) 791-3399

Fax

(806) 791-3934

NPI assigned

Jul 31, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1998

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 and National Provider Directory roles.

• Lubbock Advanced Physical Medicine PLLC

  • Physical Medicine & Rehabilitation Physician
  • Lubbock, TX
  • NPI 1750715462
  Medicare reassignment NPD
• Korey Kothmann, D.C., PA

  • Chiropractor
  • Lubbock, TX
  • NPI 1992147375
  NPD (past) Authorized official
• Cruth Enterprises, Inc.

  • Chiropractor
  • Lubbock, TX
  • NPI 1245410380
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387756800000",
    "number": "1649286550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 4TH ST",
            "address_2": "SUITE F",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794164348",
            "telephone_number": "806-791-3399",
            "fax_number": "806-791-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 4TH ST",
            "address_2": "SUITE F",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794164348",
            "telephone_number": "806-791-3399",
            "fax_number": "806-791-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTHMANN",
        "first_name": "KOREY",
        "middle_name": "DEAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2013-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC 7865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "117066100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "609032",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan Wayne Korinek, PH.D.
• Hannah Korkow, LMFT-A
• Kortney Gholson Counseling PLLC
• Stanley J. Kotara, PA
• Koteswaramma Narra, MD, PA
• Rajinder Koul, PHD
• Kourtney Kouth, DDS
• Stephen P. Koutrelakos, LPC
• Taylor Jensen Kouts, OTR/L, OTD
• Lindsey N Kozlovsky

• Chiropractor in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.