Kos Chiropractic Center DC PC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

CT000885 Issued in CT

Legal business name

KOS CHIROPRACTIC CENTER DC PC

Practice address

999 Foxon Road Suite 8
North Branford, CT 06471

Phone

(203) 484-7579

Fax

(203) 484-2686

NPI assigned

Jun 18, 2007

Last updated

Aug 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jacquelyn L. Kos, DCNPI 1386750156

Title

President

Phone

(203) 484-7579

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacquelyn Lisa Kos, DC

  • Chiropractor
  • North Branford, CT
  • NPI 1386750156
  Medicare reassignment NPD Authorized official
• Suzanne Ivie, D.C.

  • Chiropractor
  • North Branford, CT
  • NPI 1447361084
  NPD (past)
• April J Prete, D.C.

  • Chiropractor
  • Durham, CT
  • NPI 1669400479
  NPD (past)
• Paul Andre Molloy, D.C.

  • Chiropractor
  • Concord, NH
  • NPI 1649337254
  NPD (past)

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1790980175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 FOXON RD",
            "address_2": "UNIT 8",
            "city": "NORTH BRANFORD",
            "state": "CT",
            "postal_code": "064711287",
            "telephone_number": "203-484-7579",
            "fax_number": "203-484-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 FOXON ROAD SUITE 8",
            "city": "NORTH BRANFORD",
            "state": "CT",
            "postal_code": "06471",
            "telephone_number": "203-484-7579",
            "fax_number": "203-484-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOS CHIROPRACTIC CENTER DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "KOS",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-484-7579",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CT",
            "license": "CT000885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4112710",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "948313",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "050000885CT04",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CTCARE",
            "identifier": "631506",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1227567",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "532967",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Isacson D.C. LLC
• Kathleen Hassen Stack, PT
• Shawna Holzer, LCSW
• Hannah Isacson, DC
• Suzanne Ivie, D.C.
• Jacquelyn Lisa Kos, DC
• Gary Alan Lachance, D.M.D.
• Daniel Landino, SLP
• Melinda L Lazarus, LCSW
• Jhennelle Lee, DNP, APRN, PMHNP-BC

• Nutrition Chiropractor in North Branford, CT
• Providers in North Branford, CT by specialty
• Nutrition Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.