Active NPI
Daniel James Edward Koch, D.C.
- Chiropractor
- Imperial, NE
National Provider Identifier
1871905489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1800
- Practice address
- 441 Broadway
Imperial, NE 69033-3162 - Phone
- (308) 882-5532
- NPI assigned
- May 30, 2014
- Last updated
- May 30, 2014
- Sex
- Male
- 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 | 1800 | NE | Primary |
Addresses
Primary practice location
441 Broadway
Imperial, NE 69033-3162
Mailing address
PO Box 696
Imperial, NE 69033-0696
Phone (308) 882-5532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1550 Main St
Unit 112
Windsor, CO 80550-7916
Phone (970) 460-0551
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norco Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
| First Insight Eyecare, LLC | Past | Accepting new patients |
Locations
1550 Main St
Unit 112
Windsor, CO 80550
Phone (970) 460-0551
Organizations & group practices 3
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.
-
- Chiropractor
- Windsor, CO
- NPI 1730605049
-
- Preferred Provider Organization
- Imperial, NE
- NPI 1407264419
-
- Optometrist
- Grant, NE
- NPI 1528255668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401408000000",
"number": "1871905489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 696",
"city": "IMPERIAL",
"state": "NE",
"postal_code": "690330696",
"telephone_number": "308-882-5532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 BROADWAY",
"city": "IMPERIAL",
"state": "NE",
"postal_code": "690333162",
"telephone_number": "308-882-5532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "DANIEL",
"middle_name": "JAMES EDWARD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-30",
"last_updated": "2014-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "1800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Imperial, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2014; 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.