NPIMap

Individual provider Active NPI

Kurt Alan Dennison, DC

  • Chiropractor
  • Hanover Park, IL
National Provider Identifier
1245310895
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038005854 Issued in IL
Practice address
7315 Cumberland Dr
Hanover Park, IL 60133-2616
Phone
(630) 830-2063
Fax
(630) 830-0330
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038005854 IL Primary

Addresses

Primary practice location

7315 Cumberland Dr
Hanover Park, IL 60133-2616

Mailing address

7315 Cumberland Dr
Hanover Park, IL 60133-2616
Phone (630) 830-2063

Other identifiers 1

IdentifierTypeStateIssuer
01682769OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038005854ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Adjust Chiropractic LLC Chiropractor Past Accepting new patients
Shant PLLC Chiropractor Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1245310895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 CUMBERLAND DR",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601332616",
            "telephone_number": "630-830-2063",
            "fax_number": "630-830-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 CUMBERLAND DR",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601332616",
            "telephone_number": "630-830-2063",
            "fax_number": "630-830-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNISON",
        "first_name": "KURT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038005854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01682769",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.