Charles E. Koester, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.010812 Issued in IL

Practice address

101 Transcraft Dr
Anna, IL 62906-2114

Phone

(618) 833-2179

NPI assigned

Nov 22, 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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Preventive Health & Weight Loss PC

  • Chiropractor
  • Anna, IL
  • NPI 1093955668
  NPD (past) Authorized official
• Ozbourn Chiropractic Clinic

  • Clinic/Center
  • Anna, IL
  • NPI 1811281728
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227052800000",
    "number": "1649345810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TRANSCRAFT DR",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629062114",
            "telephone_number": "618-833-2179",
            "fax_number": "618-833-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TRANSCRAFT DR",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629062114",
            "telephone_number": "618-833-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOESTER",
        "first_name": "CHARLES",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.010812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038010812",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "K37019",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "215015",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Kenny, MS, CCC-SLP
• Russell John Kinsey, PA-C
• Lesli Kluge, BSN, RN
• Deborah L Kobler, COTA/L, CLT
• Koester Chiropractic & Family Health Center LLC
• Kroger Limited Partnership I
• Richard Lamb, D.D.S.
• Greg A Landis, RN,RRT
• Thomas J Larkin III, DMD
• Bobbi Lee, LPC

• Chiropractor in Anna, IL
• Providers in Anna, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.