Kevin Richard Kosak, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1298 Issued in NE

Practice address

14450 Eagle Run Dr
Suite 150
Omaha, NE 68116-1493

Phone

(402) 964-0300

Fax

(402) 964-0058

NPI assigned

Aug 31, 2005

Last updated

Jul 15, 2008By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2002

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kosak Chiropractic P.C.

  dba Kosak Chiropractic & Acupuncture

  • Chiropractor
  • Omaha, NE
  • NPI 1558416230
  Medicare reassignment NPD
• Hinze Chiropractic Center P C

  • Chiropractor
  • Columbus, NE
  • NPI 1508867151
  NPD (past)

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1669465043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14450 EAGLE RUN DR",
            "address_2": "SUITE 150",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681161493",
            "telephone_number": "402-964-0300",
            "fax_number": "402-964-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14450 EAGLE RUN DR",
            "address_2": "SUITE 150",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681161493",
            "telephone_number": "402-964-0300",
            "fax_number": "402-964-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSAK",
        "first_name": "KEVIN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002519300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Anne Korth
• Samantha J. Korth, PAC
• Zachary Ryan Korth, D.C.
• Kosak Chiropractic P.C. (Kosak Chiropractic & Acupuncture)
• Heidi Lyn Kosak, DC
• Margaret Kosch
• Joseph Koschwanez
• Annie T Kosel, PHARM.D
• Tatiana Kosenceva
• Kokou Jeremie Kosi

• Chiropractor in Omaha, NE
• Providers in Omaha, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.