Individual provider Active NPI

James J Kostecki, DC

  • Chiropractor
  • Hamilton, MT
National Provider Identifier
1952596272
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1044 Issued in MT
Practice address
1201 W Main St
Hamilton, MT 59840-2337
Phone
(406) 363-3333
NPI assigned
Sep 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1044 MT Primary

Addresses

Primary practice location

1201 W Main St
Hamilton, MT 59840-2337

Mailing address

PO Box 1316
Hamilton, MT 59840-1316
Phone (406) 363-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031212000861 MT Practitioner - Chiropractic 7618874272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

484 Old Corvallis Rd
Hamilton, MT 59840-3129
Phone (406) 363-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1044MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Chiropractic PC Chiropractor CurrentSince Mar 19, 2004 Accepting new patients
Western Montana Spine & Injury Clinic PLLC Past Accepting new patients
Butler Chiropractic Health Clinic, PC Chiropractor PastSince Aug 6, 2012 Accepting new patients

Locations

3972 US Highway 93 N
Ste B
Stevensville, MT 59870
Phone (406) 777-5111

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1952596272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1316",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598401316",
            "telephone_number": "406-363-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W MAIN ST",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402337",
            "telephone_number": "406-363-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTECKI",
        "first_name": "JAMES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "1044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.

Verify at the official NPI Registry.