Individual provider Active NPI

Christian James Koch, DC

  • Chiropractor
  • Holland, MI
National Provider Identifier
1881208080
Registry record updated Sep 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301401254 Issued in MI
Practice address
12330 James St Ste B65
Holland, MI 49424-8579
Phone
(567) 525-2778
NPI assigned
Sep 4, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 2301401254 MI
Chiropractor 111N00000X 2301401254 MI Primary

Addresses

Primary practice location

12330 James St Ste B65
Holland, MI 49424-8579

Mailing address

12330 James St Ste B65
Holland, MI 49424-8579
Phone (616) 595-0214

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

LicenseStateTypeSpecialty
2301401254MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Seppo Chiropractic Chiropractor CurrentSince Sep 20, 2022 Accepting new patients
Holland Spine and Wellness Chiropractor CurrentSince Sep 20, 2022 Accepting new patients

Locations

12330 James St
Ste B65
Holland, MI 49424
Phone (567) 525-2778

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.

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694908800000",
    "number": "1881208080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12330 JAMES ST STE B65",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248579",
            "telephone_number": "616-595-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12330 JAMES ST STE B65",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248579",
            "telephone_number": "567-525-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "CHRISTIAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-04",
        "last_updated": "2023-09-17",
        "certification_date": "2023-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MI",
            "license": "2301401254",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2023; 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.