Michael J Koster, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001557 Issued in CT

Practice address

152 Simsbury Rd # 12E
Building 19
Avon, CT 06001-3777

Phone

(860) 677-1100

Fax

(860) 677-1139

NPI assigned

Feb 19, 2008

Sex

Male

Sole proprietor

Yes

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 CT

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Koster Family Chiropractic LLC

  • Chiropractor
  • Avon, CT
  • NPI 1154574499
  Medicare reassignment NPD Authorized official
• Life Family Chiropractic LLC

  • Chiropractor
  • Southington, CT
  • NPI 1538667365
  NPD (past) Authorized official
• Life Family Chiropractic of Farmington LLC

  • Chiropractor
  • Farmington, CT
  • NPI 1558123604
  NPD (past) Authorized official
• Life Family Chiropractic of Manchester LLC

  • Chiropractor
  • Manchester, CT
  • NPI 1164284220
  NPD (past) Authorized official
• Life Family Chiropractic of Southington, LLC

  • Chiropractor
  • Southington, CT
  • NPI 1174259238
  NPD (past) Authorized official
• Life Family Chiropractic of Venice LLC

  • Chiropractor
  • Nokomis, FL
  • NPI 1013643725
  NPD (past) Authorized official

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1740458272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 SIMSBURY RD # 12E",
            "address_2": "BUILDING 19",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013777",
            "telephone_number": "860-677-1100",
            "fax_number": "860-677-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 SIMSBURY RD # 12E",
            "address_2": "BUILDING 19",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013777",
            "telephone_number": "860-677-1100",
            "fax_number": "860-677-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTER",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-19",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bartlomiej Kolcz, DPT
• Komarow Dental PC
• Bruce Eliot Komarow, DMD
• Vamsi Koneru, PH.D.
• Koster Family Chiropractic LLC
• Nicolette Kathleen Kovacs, M.A., CCC-SLP
• Nicole Kowalski
• Cynthia Kozak, RD, CDCES, MPH
• Laura Ann Kramer, APRN
• Deborah Stacey Krawet-Delcoro

• Chiropractor in Avon, CT
• Providers in Avon, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.