Organization Active NPI

Keresztesy Chiropractic PC

  • Clinic/Center
  • Arlington Heights, IL
National Provider Identifier
1144519729
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
038.011519 Issued in IL
Legal business name
KERESZTESY CHIROPRACTIC PC
Practice address
55 W Golf Rd
Arlington Heights, IL 60005-3905
Phone
(224) 805-2054
NPI assigned
Apr 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Authorized official

Name
Dr. Mark Allen Keresztesy, D.C.NPI 1568751147
Title
President/Owner
Phone
(224) 805-2054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 038.011519 IL Primary

Addresses

Primary practice location

55 W Golf Rd
Arlington Heights, IL 60005-3905

Mailing address

55 W Golf Rd
Arlington Heights, IL 60005-3905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110708000368 IL Part B Supplier - Clinic/Group Practice 6002094315 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington Heights, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1144519729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 W GOLF RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 W GOLF RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053905",
            "telephone_number": "224-805-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERESZTESY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "KERESZTESY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "224-805-2054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "038.011519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.