JOEL ARTHUR KOEPPEN – Chiropractor, NPI 1720562440

JOEL ARTHUR KOEPPEN is a healthcare provider. based in Dallas, Georgia. specializing in CHIROPRACTIC. They hold a License No. CHIR010091 (GA). The NPI Number for JOEL ARTHUR KOEPPEN is 1720562440

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JOEL ARTHUR KOEPPEN
NPI
1720562440
Phone
(470) 747-8447
Address
77 WINDSOR WAY
Enumeration Date
19 September 2018
Last Update Date
19 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8176889000
Graduation Year
2018 (8 years ago)
PAC ID
5991187965
Group Practice PAC ID
9436530581
Professional Enrollment ID
I20220808002008
Address ID
GA300641077MA3900XNWXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,115 CHIROPRACTIC in GA

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Provider Addresses for JOEL ARTHUR KOEPPEN

  • Windsor, Wellington on the Creek, Dallas, TX, Dallas, Dallas County, Texas, 75220, United States

    DALLAS, GA 301320577

    Phone: (470) 747-8447

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220808002008IChiropracticGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30132)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436530581View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationFL
Nurse PractitionerGA

Reviews

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Frequently asked questions

Can I verify JOEL ARTHUR KOEPPEN with an NPI only?
You can start verification with NPI 1720562440 for JOEL ARTHUR KOEPPEN, then check state licensing separately.
Does CMS list JOEL ARTHUR KOEPPEN as active?
Yes — JOEL ARTHUR KOEPPEN is active in the NPI listing used on this page.
What is JOEL ARTHUR KOEPPEN's primary classification?
Chiropractor is the headline specialty for JOEL ARTHUR KOEPPEN here. Clinical services aligned with this taxonomy classification.
What address line appears for JOEL ARTHUR KOEPPEN?
JOEL ARTHUR KOEPPEN's geographic hint is Dallas, Georgia in our summary view.
Why does JOEL ARTHUR KOEPPEN have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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