Active NPI
Jason M Kolber, D.C.
- Chiropractor
- Phoenix, AZ
National Provider Identifier
1710181623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5903
- Practice address
- 4221 E Chandler Blvd
Suite #114
Phoenix, AZ 85048-8874 - Phone
- (480) 704-2787
- Fax
- (480) 704-2788
- NPI assigned
- Jun 13, 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 | 5903 | AZ | Primary |
Addresses
Primary practice location
4221 E Chandler Blvd
Suite #114
Phoenix, AZ 85048-8874
Mailing address
4221 E Chandler Blvd
Suite #114
Phoenix, AZ 85048-8874
Phone (480) 704-2787
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0248900 | Other | AZ | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5903 | AZ | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerment Technologies Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193270400000",
"number": "1710181623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4221 E CHANDLER BLVD",
"address_2": "SUITE #114",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850488874",
"telephone_number": "480-704-2787",
"fax_number": "480-704-2788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4221 E CHANDLER BLVD",
"address_2": "SUITE #114",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850488874",
"telephone_number": "480-704-2787",
"fax_number": "480-704-2788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLBER",
"first_name": "JASON",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-13",
"last_updated": "2007-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "5903",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AZ0248900",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.