John Jerome Koc III, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6076 Issued in AZ

Practice address

4045 E Bell Rd
Suite 107
Phoenix, AZ 85032-2236

Phone

(480) 703-1834

Fax

(602) 493-2399

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona Pain Specialists PLLCGroup PAC ID 2668536418, 40 clinicians

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.

• Arizona Pain Specialists, PLLC

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1700030939

  Chiropractor

  Medicare reassignment Care Compare group NPD
• Arizona Pain Specialists, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Denver, CO
  • NPI 1245682970
  NPD
• Alternative Health & Nutrition

  • Chiropractor
  • Glendale, AZ
  • NPI 1073783601
  NPD (past)
• Hayman Multicare

  • Podiatrist
  • Prescott, AZ
  • NPI 1922543925
  NPD (past)
• Physical Medicine of Chandler LLC

  • General Practice Physician
  • Chandler, AZ
  • NPI 1801410535
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1659429215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 E BELL RD",
            "address_2": "SUITE 107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322236",
            "telephone_number": "480-703-1834",
            "fax_number": "602-493-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 E BELL RD",
            "address_2": "SUITE 107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322236",
            "telephone_number": "480-703-1834",
            "fax_number": "602-493-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOC",
        "first_name": "JOHN",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "6076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Ko
• William T. Ko, M.D.
• Emir Kobic
• Jenna Koblinski, MD
• Erika Lauren Kobziak
• Kocch Care LLC
• Kocch Haven LLC
• Justin Andrew Koceja, MD
• Joshua Daniel Koch, M.D.
• Robert Koch

• Chiropractor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.