Individual provider Active NPI

Kim Trager, D.C.

  • Chiropractor
  • Naperville, IL
National Provider Identifier
1194794685
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038007289 Issued in IL
Practice address
200 E 5TH Ave Ste 118
Naperville, IL 60563-3173
Phone
(630) 717-5060
NPI assigned
Mar 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038007289 IL Primary

Addresses

Primary practice location

200 E 5TH Ave Ste 118
Naperville, IL 60563-3173

Mailing address

200 E 5TH Ave Ste 118
Naperville, IL 60563-3173
Phone (630) 717-5060

Other identifiers 1

IdentifierTypeStateIssuer
350050896OtherILRR MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL tragerhealing.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060626000160 IL Practitioner - Chiropractic 1658383286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Health of Naperville PLLCGroup PAC ID 7618366105, 3 clinicians

Practice addresses (Care Compare)

1767 W Ogden Ave
Suite 143
Naperville, IL 60540-5008
Phone (630) 355-8988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038007289ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Health of Naperville PLLC Chiropractor CurrentSince Oct 25, 2022 Accepting new patients

Locations

1767 W Ogden Ave
Ste 143
Naperville, IL 60540
Phone (630) 355-8988

Organizations & group practices 3

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1194794685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 5TH AVE STE 118",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633173",
            "telephone_number": "630-717-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 5TH AVE STE 118",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633173",
            "telephone_number": "630-717-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAGER",
        "first_name": "KIM",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "350050896",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tragerhealing.com",
            "affiliation": "N",
            "endpointDescription": "Practice location",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "200 E 5th Ave Ste 118",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605633173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.