Active NPI
Jennifer Lyn Kocour, D.C.
- Chiropractor
- Ogden, UT
National Provider Identifier
1841472610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7387084-1202
- Practice address
- 1900 Washington Blvd
Ste 104
Ogden, UT 84401 - Phone
- (801) 689-0121
- Fax
- (801) 337-1104
- NPI assigned
- Dec 3, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 7387084-1202 | UT | Primary |
Addresses
Primary practice location
1900 Washington Blvd
Ste 104
Ogden, UT 84401
Mailing address
1900 Washington Blvd
Ste 104
Ogden, UT 84401
Phone (801) 689-0121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 Washington Blvd
Suite 104
Ogden, UT 84401-6850
Phone (801) 612-1085
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7387084-1202 | UT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cross Country Holdings, P.C. | Chiropractor | Current | Accepting new patients |
| Preston Family Chiropractic | Past | Accepting new patients |
Locations
1900 Washington Blvd
Ste 104
Ogden, UT 84401
Phone (801) 612-1085
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Supports Brokerage Agency
- Ogden, UT
- NPI 1376678268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640217600000",
"number": "1841472610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 WASHINGTON BLVD",
"address_2": "STE 104",
"city": "OGDEN",
"state": "UT",
"postal_code": "84401",
"telephone_number": "801-689-0121",
"fax_number": "801-337-1104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 WASHINGTON BLVD",
"address_2": "STE 104",
"city": "OGDEN",
"state": "UT",
"postal_code": "84401",
"telephone_number": "801-689-0121",
"fax_number": "801-337-1104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCOUR",
"first_name": "JENNIFER",
"middle_name": "LYN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-03",
"last_updated": "2021-12-23",
"certification_date": "2021-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "7387084-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; 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.