Kocken Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

497512 Issued in WI

Legal business name

KOCKEN CHIROPRACTIC, LLC

Practice address

920 Main Ave
De Pere, WI 54115-1306

Phone

(920) 915-5929

NPI assigned

Nov 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Alex Kocken, D.C.NPI 1073943437

Title

Doctor of Chiropractic/Owner

Phone

(920) 915-5929

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alex Kocken, D.C.

  • Chiropractor
  • De Pere, WI
  • NPI 1073943437
  Medicare reassignment NPD Authorized official
• Danielle M Wilson, PT

  • Physical Therapist
  • Green Bay, WI
  • NPI 1497184410
  Medicare reassignment NPD

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1700216801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1783 GRANT ST",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541157680",
            "telephone_number": "920-915-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MAIN AVE",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541151306",
            "telephone_number": "920-915-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOCKEN CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "KOCKEN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC/OWNER",
        "authorized_official_telephone_number": "920-915-5929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "497512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Klak, OTR
• Carlie Marie Klister, OT
• Brianna Klotz, DNP, APNP, FNP-BC
• Vanessa Lynn Knippel, M.A., LMFT 53937
• Tawni Nicole Kobielak, DNP
• Alex Kocken, D.C.
• Danelle Lee Koenig, P.T.A.
• Mylan Vaugeois Kohler, DO
• Joy Kolbe-Taylor, LPC-IT
• Kayla Ann Komarec, DC

• Chiropractor in De Pere, WI
• Providers in De Pere, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.