Dane B. Kohl, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7860 Issued in AZ

Practice address

4550 E Bell Rd
BLDG 6 Suite 152
Phoenix, AZ 85032-9306

Phone

(602) 258-9663

NPI assigned

Sep 27, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kohl Chiropractic PLLC

  • Chiropractor
  • Phoenix, AZ
  • NPI 1194054155
  NPD (past) Authorized official
• Laurie Riley P.L.C.

  • Chiropractor
  • Phoenix, AZ
  • NPI 1689904989
  NPD (past)
• Wellness Dynamics LLC

  • Chiropractor
  • Gilbert, AZ
  • NPI 1063524411
  NPD (past)

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398038400000",
    "number": "1841487436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20632 N 9TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850244109",
            "telephone_number": "480-298-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 E BELL RD",
            "address_2": "BLDG 6 SUITE 152",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850329306",
            "telephone_number": "602-258-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHL",
        "first_name": "DANE",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-27",
        "last_updated": "2014-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7860",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "4552",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Koh, M.A.
• Mario Kohan
• Wayne Howard Kohan, D.C.
• Kohl Chiropractic PLLC
• Bobbie Kohl, RN
• Debra Mary Kohl, R.D.
• Joshua Kohl, PA-C
• Gregory Michael Kohler, AGACNP-BC
• Jeffery Arthur Kohler, D.D.S.
• Alicia Kohls, MSN, NPC

• Chiropractor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.