Organization Active NPI

King Family Wellness LLC

  • Chiropractor
  • West Dundee, IL
National Provider Identifier
1164137410
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KING FAMILY WELLNESS LLC
Practice address
600 Spring Hill Ring Rd Ste 111
West Dundee, IL 60118-7301
Phone
(847) 915-4955
NPI assigned
Jan 20, 2023
Last updated
Jan 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Authorized official

Name
Katie King, DCNPI 1295910354
Title
Owner
Phone
(708) 955-1884

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

600 Spring Hill Ring Rd Ste 111
West Dundee, IL 60118-7301

Mailing address

190 Winding Canyon Way
Algonquin, IL 60102-5030
Phone (708) 955-1884

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kingfamilywellness.janeapp.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230411000728 IL Part B Supplier - Clinic/Group Practice 4981079639 Receives reassigned benefits from 1 practitioner
Practice locations: West Dundee, IL

National Provider Directory

National Provider Directory

Locations

600 Spring Hill Ring Rd
Ste 111
West Dundee, IL 60118
Phone (847) 915-4955

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1164137410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 WINDING CANYON WAY",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025030",
            "telephone_number": "708-955-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SPRING HILL RING RD STE 111",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601187301",
            "telephone_number": "847-915-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING FAMILY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-955-1884",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kingfamilywellness.janeapp.com",
            "affiliation": "N",
            "address_1": "600 Spring Hill Ring Rd Ste 111",
            "city": "West Dundee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601187301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Dundee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.