Individual provider Active NPI

Thomas Steven Kosmyna, DC

  • Chiropractor
  • Clinton, MI
National Provider Identifier
1720103997
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
TK002768 Issued in MI
Practice address
301 W Michigan Ave
Clinton, MI 49236
Phone
(517) 456-7411
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X TK002768 MI Primary

Addresses

Primary practice location

301 W Michigan Ave
Clinton, MI 49236

Mailing address

PO Box L
301 W Michigan Ave
Clinton, MI 49236
Phone (517) 456-7411

Other identifiers 2

IdentifierTypeStateIssuer
T33078OtherUPIN
0D65018OtherBCBSM

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

LicenseStateTypeSpecialty
TK002768MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Holen Family Chiropractic Chiropractor PastSince Nov 1, 2020 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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414627200000",
    "number": "1720103997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX L",
            "address_2": "301 W MICHIGAN AVE",
            "city": "CLINTON",
            "state": "MI",
            "postal_code": "49236",
            "telephone_number": "517-456-7411",
            "fax_number": "517-456-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W MICHIGAN AVE",
            "city": "CLINTON",
            "state": "MI",
            "postal_code": "49236",
            "telephone_number": "517-456-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSMYNA",
        "first_name": "THOMAS",
        "middle_name": "STEVEN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2014-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "TK002768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "T33078",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0D65018",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.