Joel Arthur Koeppen

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR010091 Issued in GA

Practice address

77 Windsor Way
Dallas, GA 30132-0577

Phone

(470) 747-8447

NPI assigned

Sep 19, 2018

Last updated

Sep 19, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anodyne Pain Group of North Georgia LLCGroup PAC ID 9436530581, 3 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anodyne Pain Group of North Georgia LLC

  dba Anodyne Pain and Wellness Solutions

  • Physical Medicine & Rehabilitation Physician
  • Marietta, GA
  • NPI 1629701610
  Medicare reassignment Care Compare group NPD
• Bear Mountain Chiropractic, PC

  • Chiropractor
  • Dallas, GA
  • NPI 1174007892
  NPD (past) Authorized official
• Anodyne Pain Group of North Georgia LLC

  dba Anodyne Pain and Wellness Solutions - Alpharetta

  • Physical Medicine & Rehabilitation Physician
  • Alpharetta, GA
  • NPI 1447983432
  NPD (past)

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1720562440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WINDSOR WAY",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301320577",
            "telephone_number": "470-747-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WINDSOR WAY",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301320577",
            "telephone_number": "470-747-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEPPEN",
        "first_name": "JOEL",
        "middle_name": "ARTHUR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Kirscher, SLP
• Yanirka Jade Kittrell
• Kmar
• Brenden Gabriel Knight
• Laura Leigh Knott-Riggall, CCC-SLP
• Rachel Kornegay, SLP
• Kwadwo Korsah, PHARM.D.
• Mary Elizabeth Krusac
• L a & S Healthcare Solutions LLC
• L a & S Healthcare Solutions LLC

• Chiropractor in Dallas, GA
• Providers in Dallas, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.