Active NPI
Joseph Robert Kolanko, D.C.
- Chiropractor
- Hammond, IN
National Provider Identifier
1871659599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08000393A
- Practice address
- 3224 165TH St
Hammond, IN 46323-1218 - Phone
- (219) 844-0444
- Fax
- (219) 844-4241
- NPI assigned
- Dec 28, 2006
- 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 | 08000393A | IN | Primary |
Addresses
Primary practice location
3224 165TH St
Hammond, IN 46323-1218
Mailing address
3224 165TH Street
Hammond, IN 46323-1218
Phone (219) 844-0444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100159510A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120210000609 | IN | Practitioner - Chiropractic | 0941467419 | Practice locations: Hammond, IN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08000393A | IN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871659599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3224 165TH STREET",
"city": "HAMMOND",
"state": "IN",
"postal_code": "463231218",
"telephone_number": "219-844-0444",
"fax_number": "219-844-4241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3224 165TH ST",
"city": "HAMMOND",
"state": "IN",
"postal_code": "463231218",
"telephone_number": "219-844-0444",
"fax_number": "219-844-4241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLANKO",
"first_name": "JOSEPH",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08000393A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100159510A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hammond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.