Koele Family Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1105 Issued in SD

Legal business name

KOELE FAMILY CHIROPRACTIC

Doing business as

Koele Family Chiropractic

Practice address

710 E 1St St
Tea, SD 57064-3209

Phone

(605) 498-2273

Fax

(605) 498-2225

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Laura M. Koele, DCNPI 1518083757

Title

Member

Phone

(605) 498-2273

Specialties & licenses 2

Addresses

Other names 1

• Koele Family Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Marie Koele, DC

  • Chiropractor
  • Tea, SD
  • NPI 1518083757
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1801001755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 E 1ST ST",
            "city": "TEA",
            "state": "SD",
            "postal_code": "570643209",
            "telephone_number": "605-498-2273",
            "fax_number": "605-498-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E 1ST ST",
            "city": "TEA",
            "state": "SD",
            "postal_code": "570643209",
            "telephone_number": "605-498-2273",
            "fax_number": "605-498-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOELE FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "KOELE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "605-498-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1105",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06944",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koele Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Johnson, RPH
• David B Jones Jr., MD
• Tyra Larae Jons, ATC
• Abbie Kasten, PT, DPT
• Ryan M Klenner, PAC
• Laura Marie Koele, DC
• Cassandra Elizabeth Kretsch-Guthmiller, MSW, CSW, LAC
• Madison Kyle, MSW, LGSW
• Kennedi Jean Landis
• Christopher William Lane, D.C

• Chiropractor in Tea, SD
• Providers in Tea, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.