Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558682716 Individual Practitioner Male Practitioner

Dr. Kole Jordan Kopnicky , DC

Chiropractor • Conroe, TX

Professional Overview & Biography Verified Profile Summary

Dr. Kole Kopnicky, DC is a registered healthcare professional specializing in Chiropractor in Conroe, TX. Practice services are available at 4015 INTERSTATE 45 N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4015 Interstate 45 N

Conroe, TX 773044901

Telephone 9365224731
Fax 9365224736

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Conroe, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.4 Yrs
State Avg: 22.3 Yrs
Regional Practice Density
37 Specialists

Practicing in Conroe, TX (7266 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License TX 11485

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Group Medicare
00J21A (TX)
Commercial Insurance / Payer ID Group Medicaid
094010801 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Mark Walker , PT

Physical Therapist

NPI 1063600591

Physical Therapist

Vanessa Servantes , LPT

Physical Therapist

NPI 1114964079
Jane Bomer , MOT, OTR

Occupational Therapist

NPI 1184753550

Master of Occupational Therapy, Occupational Therapist Registered

Elmer Benhardt , LPT

Physical Therapist

NPI 1518904341
Rhonda Ganyo , PT

Physical Therapist

NPI 1669444998

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 16, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location August 16, 2010

Registered at 4015 INTERSTATE 45 N, CONROE, TX 773044901 (Tel: 9365224731)

📍
Updated Business Mailing Address August 16, 2010

Registered at 4015 INTERSTATE 45 N, CONROE, TX 773044901 (Tel: 9365224731)

👤
Provider Name / Credentials Updated August 16, 2010

Recorded as KOLE KOPNICKY, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2010

Chiropractor (License #11485 in TX)

🟢
Initial NPI Registration & Enumeration June 22, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558682716
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2010
Last Update: August 16, 2010
Sole Proprietor: No

Mailing Address

4015 Interstate 45 N

Conroe, TX 773044901

Phone: 9365224731

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.