Kimberly Lou Diller, D.C.
Individual provider Active NPI Chiropractor · Churubusco, IN
NPI 1235148115 · NPPES record last updated Dec 16, 2022
Key facts
- NPI
- 1235148115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 08001757A (IN)
- Practice address
- 208 E Whitley St
Churubusco, IN 46723-1506 - Phone
- (260) 693-9644
- Fax
- (260) 693-9644
- NPI assigned
- Aug 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
208 E Whitley St
Churubusco, IN 46723-1506
Phone (260) 693-9644
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110214000091 | IN | Practitioner - Chiropractic | 8224218912 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Biddle Chiropractic, P.C. | Chiropractor | Current |
Accepting new patients |
| Back to Chiropractic LLC | Chiropractor | Current |
Accepting new patients |
Locations
208 E Whitley St
Churubusco, IN 46723
Phone (260) 341-4457
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08001757A | IN | Yes |
Addresses
Primary practice location
208 E Whitley St
Churubusco, IN 46723-1506
Mailing address
208 E Whitley St
Churubusco, IN 46723-1506
Phone (260) 693-9644
Other names
- Kimberly Lou Sajdak
Other providers in Churubusco, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.