Individual provider Active NPI

Christopher Allen Koziarski, D.C.

  • Chiropractor
  • Knox, PA
National Provider Identifier
1790058394
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010551 Issued in PA
Practice address
108 Rossman Ave
Knox, PA 16232-1844
Phone
(814) 797-2863
Fax
(814) 797-0389
NPI assigned
Feb 14, 2012
Last updated
Feb 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010551 PA Primary

Addresses

Primary practice location

108 Rossman Ave
Knox, PA 16232-1844

Mailing address

108 Rossman Ave
Knox, PA 16232-1844
Phone (814) 797-2863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120327000768 PA Practitioner - Chiropractic 5395905467 Reassigns benefits to 1 organization
Practice locations: Erie, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2431 W 26TH St
Erie, PA 16506-3220
Phone (814) 897-3102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pleasantview Chiropractic, LLC Chiropractor CurrentSince Oct 18, 2024 Accepting new patients
Great Lakes Family Chiropractic Center,PC Chiropractor Past Accepting new patients
Family Chiropractic of Knox, Inc. Chiropractor PastSince May 20, 2011 Accepting new patients

Locations

1535 W 8th St
Ste A5
Erie, PA 16505
Phone (814) 456-4200

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1790058394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 ROSSMAN AVE",
            "city": "KNOX",
            "state": "PA",
            "postal_code": "162321844",
            "telephone_number": "814-797-2863",
            "fax_number": "814-797-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 ROSSMAN AVE",
            "city": "KNOX",
            "state": "PA",
            "postal_code": "162321844",
            "telephone_number": "814-797-2863",
            "fax_number": "814-797-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZIARSKI",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knox, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.