JOHN N. KOSTIDIS (NPI# 1932381746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932381746 |
| Entity Type | Organization |
| Organization Name | JOHN N. KOSTIDIS |
| Other Organization Name | KOSTIDIS CHIROPRACTIC CLINIC |
| Practice Address |
4004 Campbell St Valparaiso IN 46385-1773 |
| Mailing Address |
Po Box 2387 Valparaiso IN 46384-2387 |
| Practice Telephone | 2194651140 |
| Practice Fax Number | 2194650903 |
| Mailing Telephone | 2194651140 |
| Mailing Fax Number | 2194650903 |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2011-12-07 |
| Authorized Official Name | DR. JOHN N KOSTIDIS (CHIROPRACTOR) |
| Authorized Official Telephone | 2194651140 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 08000556A | IN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM IND | 000000284649 | 01 |
| IN | ANTHEM IND | 000000488762 | 01 |
| IN | ANTHEM | 1801819305 | 01 |
| IN | ANTHEM IND | 000000283870 | 01 |
| IN | ANTHEM | 1639128929 | 01 |
| IN | ACN IND | 603682 | 01 |
| IN | ACN IND | 609638 | 01 |
| IN | ACN IND | 667535 | 01 |
| IN | AETNA | 4471101 | 01 |
| IN | MEDICARE GRP | 084890 | 01 |
| IN | ANTHEM | 1467491209 | 01 |
| IN | 200441700A | 05 |
| Other Name | Type Code |
|---|---|
| Kostidis Chiropractic Clinic | Doing Business As Name - Organization |
| Street Address |
4004 CAMPBELL ST |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46385-1773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710945811 | Heather Joyce Hammond | Chiropractor | 4004 Campbell St, Valparaiso, IN 46385-1773 | 2006-05-01 |
| 1538642087 | Regional Sport and Spine Chiropractic PC | Chiropractor | 4004 Campbell St, Valparaiso, IN 46385-1773 | 2018-09-11 |
| 1265752968 | Waterleaf Counseling | Community/Behavioral Health | 4004 Campbell St, Valparaiso, IN 46385-1773 | 2010-06-03 |
| 1487805537 | Waterleaf | Counselor | 4004 Campbell St, Valparaiso, IN 46385-1773 | 2008-10-07 |
| 1154588408 | Brett Michael Calland | Counselor | 4004 Campbell St, Valparaiso, IN 46385-1773 | 2008-05-22 |
| 1548390420 | Holly Simpson | Counselor | 4004 Campbell St, Valparaiso, IN 46385-1773 | 2007-03-07 |
| 1679673107 | Scott James Braun | Chiropractor | 4004 Campbell St, Valparaiso, IN 46385-1773 | 2006-09-24 |
| 1568405512 | Giselle L. Thomalla | Psychologist | 4004 Campbell St, Valparaiso, IN 46385-1773 | 2006-06-14 |
| 1467491209 | John Emmanuel Kazonis | Chiropractor | 4004 Campbell St, Valparaiso, IN 46385-1773 | 2006-06-06 |
| 1639128929 | John Nick Kostidis | Chiropractor | 4004 Campbell St, Valparaiso, IN 46385-1773 | 2006-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831738657 | William K Mitchell V | Nurse Anesthetist, Certified Registered | 85 E Us-6 Frontage Rd, Valparaiso, IN 46385 | 2019-12-26 |
| 1235609850 | Krystal Melinda Ketchem | Specialist/Technologist | 786 Mccool Rd Suite 8, Valparaiso, IN 46385 | 2018-11-27 |
| 1295254738 | Tiffany Rudziewicz | Massage Therapist | 417 Center St., Valparaiso, IN 46385 | 2017-09-15 |
| 1700255866 | Stephanie Ebsch | Developmental Therapist | 332 W Hwy 6, Valparaiso, IN 46385 | 2015-09-18 |
| 1851781637 | Emily Bisch | Specialist/Technologist | 304 Alba Ct, Valaparaiso, IN 46385 | 2015-01-30 |
| 1255734042 | Jacobs Ladder | Early Intervention Provider Agency | 322 W. 806n, Valparaiso, IN 46385 | 2014-10-07 |
| 1952715062 | Emily Barnes | Occupational Therapist | 332 W. Hwy 6, Valparaiso, IN 46385 | 2014-06-17 |
| 1073853990 | April M Sanders | Social Worker | 660 W. Morthland Dr, Valparraiso, IN 46385 | 2013-03-01 |
| 1245528843 | Bridget K Sibo | Social Worker | 2453 Knights Bridge Drive, Valparaiso, IN 46385 | 2011-07-16 |
| 1053586883 | Luis L Cuellar Jr. | Dentist | 225 Aberdeen Drive, Suite E, Valparaiso, IN 46385 | 2008-04-23 |
| Find all providers in zip 46385 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821608225 | Patrick Conner Sharp | Chiropractor | 127 N John Sims Pkwy Unit B, Valparaiso, FL 32580-1005 | 2020-07-31 |
| 1003318791 | 360 Chiropractic LLC | Chiropractor | 450 Lincolnway Ste 110, Valparaiso, IN 46385-5524 | 2018-03-08 |
| 1134530355 | Andrew S Berns | Chiropractor | 4004 Campbell Street, Valparaiso, IN 46385-1772 | 2014-05-09 |
| 1740564129 | Lindsey Doppler | Chiropractor | 505 Silhavy Rd Ste 400, Valparaiso, IN 46383-4446 | 2011-10-04 |
| 1093014359 | Lakia S Brown | Chiropractor | 2211 Roosevelt Rd, Valparaiso, IN 46383-2748 | 2011-03-24 |
| 1467785733 | Ryan Paul Porterfield | Chiropractor | 503 Silhavy Rd, Suite A104, Valparaiso, IN 46383-4494 | 2009-09-17 |
| 1720218183 | Brian Gaylord Hold | Chiropractor | 705 Calumet Ave, Valparaiso, IN 46383-4202 | 2009-07-20 |
| 1346483989 | Cresley Wayne Walker | Chiropractor | 105 Hackney Ln, Valparaiso, IN 46385-6052 | 2009-04-13 |
| 1194909937 | Midwest Mua LLC | Chiropractor | 2402 Primrose Dr, Valparaiso, IN 46383-5958 | 2007-12-27 |
| 1851596175 | Chiropractic Concepts Inc | Chiropractor | 1052 Marsh St Ste E, Valparaiso, IN 46385-6272 | 2007-06-18 |
| Find all providers in VALPARAISO | ||||
| City | VALPARAISO |
| Zip Code | 46385 |
Please comment or provide details below to improve the information on JOHN N. KOSTIDIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.