Active NPI
Michael Joseph Koch, DC
- Chiropractor
- Las Vegas, NV
National Provider Identifier
1821920786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-003936
- Practice address
- 5440 Desert Spring Rd
Las Vegas, NV 89149-6619 - Phone
- (702) 884-2686
- NPI assigned
- Jun 2, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-003936 | IL | Primary |
Addresses
Primary practice location
5440 Desert Spring Rd
Las Vegas, NV 89149-6619
Mailing address
5440 Desert Spring Rd
Las Vegas, NV 89149-6619
Phone (702) 748-6802
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@phoeniciancoaching.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-003936 | IL | MD | Chiropractor |
Interoperability endpoints
- info@phoeniciancoaching.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1821920786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5440 DESERT SPRING RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891496619",
"telephone_number": "702-748-6802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5440 DESERT SPRING RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891496619",
"telephone_number": "702-884-2686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "MICHAEL",
"middle_name": "JOSEPH",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-06-02",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-003936",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@phoeniciancoaching.com",
"affiliation": "N",
"endpointDescription": "Direct Messaging",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "5440 Desert Spring Rd",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891496619",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.