Individual provider Active NPI

Douglas Bruce Kohfeld, D.C.

  • Chiropractor
  • Susanville, CA
National Provider Identifier
1649381542
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC11760 Issued in CA
Practice address
55 N Union St
Suite a
Susanville, CA 96130-3932
Phone
(530) 257-6422
Fax
(530) 257-6422
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC11760 CA Primary

Addresses

Primary practice location

55 N Union St
Suite a
Susanville, CA 96130-3932

Mailing address

55 N Union St
Suite a
Susanville, CA 96130-3932
Phone (530) 257-6422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC11760CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649381542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 N UNION ST",
            "address_2": "SUITE A",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961303932",
            "telephone_number": "530-257-6422",
            "fax_number": "530-257-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N UNION ST",
            "address_2": "SUITE A",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961303932",
            "telephone_number": "530-257-6422",
            "fax_number": "530-257-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHFELD",
        "first_name": "DOUGLAS",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC11760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Susanville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.