KC Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

KC CHIROPRACTIC LLC

Practice address

208 E Mill St
Waterloo, IL 62298-1519

Phone

(618) 406-1342

NPI assigned

Feb 9, 2023

Organization subpart

No

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

Authorized official

Name

Kasey Christ, DCNPI 1437855442

Title

Chiropractor

Phone

(618) 406-1342

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

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

• Kasey Christ, DC

  • Chiropractor
  • Waterloo, IL
  • NPI 1437855442
  Medicare reassignment NPD Authorized official
• Emily Michele Kruse, D.C.

  • Chiropractor
  • Waterloo, IL
  • NPI 1780067256
  NPD

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1164129268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W HUNTERS RDG",
            "city": "VALMEYER",
            "state": "IL",
            "postal_code": "622953019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E MILL ST",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "622981519",
            "telephone_number": "618-406-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "CHRIST",
        "authorized_official_first_name": "KASEY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "618-406-1342",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Jouglard, RSA
• Josephine Juelfs, QIDP/MHP
• Justin Juelfs
• Hayley Juengel, RSA
• Kristina Marie Jung
• Juliann Kellerman, MHP
• Jessica Kelly, RSA
• Donna Kennedy, MHP
• Emily Kessler, RSA
• Michelle Killion

• Chiropractor in Waterloo, IL
• Providers in Waterloo, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.