Individual provider Active NPI

Stephen F Kosterman, D.C.

  • Chiropractor
  • Cary, NC
National Provider Identifier
1679805600
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4029 Issued in NC
Practice address
8511 Chapel Hill Rd
Cary, NC 27513-4563
Phone
(919) 461-9779
Fax
(919) 463-0715
NPI assigned
Feb 1, 2010
Last updated
Feb 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4029 NC Primary

Addresses

Primary practice location

8511 Chapel Hill Rd
Cary, NC 27513-4563

Mailing address

8511 Chapel Hill Rd
Cary, NC 27513-4563
Phone (919) 461-9779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100913001073 NC Practitioner - Chiropractic 4789709882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8511 Chapel Hill Rd
Cary, NC 27513-4563
Phone (919) 461-9779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4029NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kosterman Chiropractic Center, P.a. Chiropractor Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1679805600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8511 CHAPEL HILL RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275134563",
            "telephone_number": "919-461-9779",
            "fax_number": "919-463-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8511 CHAPEL HILL RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275134563",
            "telephone_number": "919-461-9779",
            "fax_number": "919-463-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTERMAN",
        "first_name": "STEPHEN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-01",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.