Active NPI
John Kardynalczyk, D.C.
- Chiropractor
- Bloomington, IN
National Provider Identifier
1073596805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08001673A
- Practice address
- 2974 N Lakewood CT
Bloomington, IN 47408-1081 - Phone
- (812) 339-4430
- Fax
- (812) 339-4476
- NPI assigned
- Nov 25, 2005
- Last updated
- Aug 30, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08001673A | IN | Primary |
Addresses
Primary practice location
2974 N Lakewood CT
Bloomington, IN 47408-1081
Mailing address
2974 N Lakewood CT
Bloomington, IN 47408-1081
Phone (812) 339-4430
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200166940A | Medicaid | IN | |
| 35201388001 | Other | IN | SAGAMORE PROVIDER# |
| 352013880A | Other | IN | SIHO |
| 000000186894 | Other | IN | ANTHEM BC/BS PROVIDER # |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 08001673A | IN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monroe County Chiropractic | Chiropractor | Past | 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.
-
- Chiropractor
- Bloomington, IN
- NPI 1750575825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788048000000",
"number": "1073596805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2974 N LAKEWOOD CT",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474081081",
"telephone_number": "812-339-4430",
"fax_number": "812-339-4476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2974 N LAKEWOOD CT",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474081081",
"telephone_number": "812-339-4430",
"fax_number": "812-339-4476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARDYNALCZYK",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-25",
"last_updated": "2026-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08001673A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200166940A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAGAMORE PROVIDER#",
"identifier": "35201388001",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO",
"identifier": "352013880A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS PROVIDER #",
"identifier": "000000186894",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.