Vanessa Leigh Koutalidis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH7318 Issued in FL

Practice address

1749 NE 26TH Street
Suite F
Wilton Manors, FL 33305

Phone

(954) 566-1349

Fax

(954) 566-1385

NPI assigned

Nov 20, 2006

Sex

Female

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 FL

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vanessa Koutalidis DC and Kathleen Schklair DC PAGroup PAC ID 7214991918, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Vanessa Koutalidis D.C. and Kathleen Schklair D.C., P.a.

  • Chiropractor
  • Wilton Manors, FL
  • NPI 1851578587
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1710051719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 NE 26TH STREET",
            "address_2": "SUITE F",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "33305",
            "telephone_number": "954-566-1349",
            "fax_number": "954-566-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 NE 26TH STREET",
            "address_2": "SUITE F",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "33305",
            "telephone_number": "954-566-1349",
            "fax_number": "954-566-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUTALIDIS",
        "first_name": "VANESSA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "70635",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Kirkman, LMHC
• Cecilia D Kitaigorodsky, DDS
• Rachel Klein
• Bright Komla Edem Kofi-Nyarko, PHARMD
• Wayne Kossman, LMHC
• William John Krantz, P.A.
• George Thomas Kress, RPH
• La Clinique 300 Inc
• Richard Dexter Ladner, RPH
• Marc Lalonde, PTA, CKTP

• Chiropractor in Wilton Manors, FL
• Providers in Wilton Manors, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.