Michael James Koban, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2007030726 Issued in MO

Practice address

636 W Republic Rd
Suite 108
Springfield, MO 65807-5818

Phone

(417) 862-1922

Fax

(417) 862-1923

NPI assigned

Jul 10, 2006

Last updated

Nov 3, 2008By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cherry Health Center, LLCGroup PAC ID 1355317033, 97 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cherry Health Center, LLC

  • Physical Therapist
  • Springfield, MO
  • NPI 1770628620

  Chiropractor

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1821022252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 W REPUBLIC RD",
            "address_2": "SUITE 108",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075818",
            "telephone_number": "417-862-1922",
            "fax_number": "417-862-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 W REPUBLIC RD",
            "address_2": "SUITE 108",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075818",
            "telephone_number": "417-862-1922",
            "fax_number": "417-862-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBAN",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "23033",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2007030726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Knox
• Christopher D. Knudsen, D.O.
• Melissa Deanne Knudsen, FNP-C
• Loretta Mae Knutson, PH.D., PT, PCS
• Libabah Kobaisy, M.D
• Ashley E Koch, PLPC
• Vaughn Koch
• Mariah Kochell, PLPC
• Andrew J Kochevar, M.D.
• Mariya Kochubey, MD

• Chiropractor in Springfield, MO
• Providers in Springfield, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.