Active NPI
Diane Regina Miller Koch, DC
- Chiropractor
- Peoria, AZ
National Provider Identifier
1659409704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5453
- Practice address
- 7717 W Deer Valley Rd
Suite 135
Peoria, AZ 85382-2102 - Phone
- (623) 512-4040
- Fax
- (623) 512-4043
- NPI assigned
- Mar 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5453 | AZ | Primary |
Addresses
Primary practice location
7717 W Deer Valley Rd
Suite 135
Peoria, AZ 85382-2102
Mailing address
7717 W Deer Valley Rd
Suite 135
Peoria, AZ 85382-2102
Phone (623) 512-4040
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5453 | AZ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659409704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7717 W DEER VALLEY RD",
"address_2": "SUITE 135",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853822102",
"telephone_number": "623-512-4040",
"fax_number": "623-512-4043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7717 W DEER VALLEY RD",
"address_2": "SUITE 135",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853822102",
"telephone_number": "623-512-4040",
"fax_number": "623-512-4043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER KOCH",
"first_name": "DIANE",
"middle_name": "REGINA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "5453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
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.