Active NPI
John Raymond Kole, DC
- Chiropractor
- Orange, CA
National Provider Identifier
1699807990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC28572
- Practice address
- 1500 E Katella Ave
G
Orange, CA 92867-5008 - Phone
- (714) 283-2288
- NPI assigned
- Mar 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | DC28572 | CA | Primary |
Addresses
Primary practice location
1500 E Katella Ave
G
Orange, CA 92867-5008
Mailing address
1177 Idaho St Ste 100
Redlands, CA 92374-4586
Phone (909) 335-0019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040320000722 | CA | Practitioner - Chiropractic | 5496646481 | Practice locations: Orange, CA; Redlands, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1177 Idaho St
Suite 100
Redlands, CA 92374-4586
Phone (909) 335-0019
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC28572 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Chiropractic PLLC | Chiropractor | Past | Accepting new patients |
| Preferred Chiropractic PLLC | Chiropractor | Past | Accepting new patients |
| Caring Hands Chiropractic, P.C. | Chiropractor | Past | Accepting new patients |
| Prime Internists PLLC | Past | Accepting new patients | |
| Shields Chiropractic LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1699807990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1177 IDAHO ST STE 100",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923744586",
"telephone_number": "909-335-0019",
"fax_number": "909-335-0020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E KATELLA AVE",
"address_2": "G",
"city": "ORANGE",
"state": "CA",
"postal_code": "928675008",
"telephone_number": "714-283-2288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLE",
"first_name": "JOHN",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC28572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.