Individual provider Active NPI

Matthew Krefetz, D.C.

  • Chiropractor
  • Schaumburg, IL
National Provider Identifier
1063715183
Registry record updated Dec 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011538 Issued in IL
Practice address
115 Carlton CT
Schaumburg, IL 60193-1318
Phone
(847) 722-2151
NPI assigned
Dec 11, 2010
Last updated
Dec 11, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011538 IL Primary

Addresses

Primary practice location

115 Carlton CT
Schaumburg, IL 60193-1318

Mailing address

115 Carlton CT
Schaumburg, IL 60193-1318
Phone (847) 722-2151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038011538ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Caribbean Chiropractic Center, LLC Chiropractor PastSince Jun 26, 2009 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1292025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292025600000",
    "number": "1063715183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CARLTON CT",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601931318",
            "telephone_number": "847-722-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CARLTON CT",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601931318",
            "telephone_number": "847-722-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREFETZ",
        "first_name": "MATTHEW",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-11",
        "last_updated": "2010-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2010; 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.