Individual provider Active NPI

Jonathan Klopcic, DC

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1255975215
Registry record updated Nov 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038013456 Issued in IL
Practice address
225 W Hubbard St Ste 302
Chicago, IL 60654-4916
Phone
(312) 216-2452
NPI assigned
Nov 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 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 038013456 IL Primary

Addresses

Primary practice location

225 W Hubbard St Ste 302
Chicago, IL 60654-4916

Mailing address

330 S River LN
Geneva, IL 60134-2754

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230509001517 OR Practitioner - Chiropractic 5991122210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nicholas Brown DC IncGroup PAC ID 5890179477, 3 clinicians

Practice addresses (Care Compare)

2704 Delta Oaks Dr
Eugene, OR 97408-1740
Phone (541) 484-0360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6299ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nicholas Brown DC Inc CurrentSince Apr 10, 2023 Accepting new patients

Locations

2704 Delta Oaks Dr
Eugene, OR 97408
Phone (541) 484-0360

Organizations & group practices 1

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": "1572739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572739200000",
    "number": "1255975215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S RIVER LN",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W HUBBARD ST STE 302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606544916",
            "telephone_number": "312-216-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOPCIC",
        "first_name": "JONATHAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-03",
        "last_updated": "2019-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.