Kotzan Chiropractic

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC30809 Issued in CA

Legal business name

KOTZAN CHIROPRACTIC

Practice address

1150 White Oak Way
San Carlos, CA 94070-5109

Phone

(650) 593-3500

NPI assigned

Nov 11, 2016

Organization subpart

No

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

Authorized official

Name

Phillip David Kotzan, DCNPI 1467639344

Title

Owner

Phone

(408) 373-6094

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phillip David Kotzan, D.C.

  • Chiropractor
  • San Carlos, CA
  • NPI 1467639344
  NPD (past) Authorized official
• Mark William Reis, D.C.

  • Neurology Chiropractor
  • San Carlos, CA
  • NPI 1194745455
  NPD (past)

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478822400000",
    "number": "1962944652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 WHITE OAK WAY",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940705109",
            "telephone_number": "650-593-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 WHITE OAK WAY",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940705109",
            "telephone_number": "650-593-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOTZAN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-11",
        "last_updated": "2016-11-11",
        "status": "A",
        "authorized_official_last_name": "KOTZAN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-373-6094",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC30809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelina Koesnodihardjo
• Nichole Kohake
• Benjamin Kong
• Cheryl Ann Koskinen, ACSW
• Kalina Kotseva, MSCA, OTR/L
• Phillip David Kotzan, D.C.
• Pamela Beth Krasner, M.S.W.
• Natasha Noel Kruger, PH.D.
• Kathleen Yoko Kubricky, LMFT
• Amanda K Kuehn, AMFT#153472

• Sports Physician Chiropractor in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; 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.