Active NPI
Kent Christianson, D.C.
- Chiropractor
- Naperville, IL
National Provider Identifier
1265560577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-008040
- Practice address
- 640 N River Rd
Suite 114
Naperville, IL 60563-8949 - Phone
- (630) 548-0700
- Fax
- (630) 548-9070
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-008040 | IL | Primary |
Addresses
Primary practice location
640 N River Rd
Suite 114
Naperville, IL 60563-8949
Mailing address
640 N River Rd
Suite 114
Naperville, IL 60563-8949
Phone (630) 548-0700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071102000131 | IL | Practitioner - Chiropractic | 8820185168 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-008040 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290470400000",
"number": "1265560577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 N RIVER RD",
"address_2": "SUITE 114",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605638949",
"telephone_number": "630-548-0700",
"fax_number": "630-548-9070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 N RIVER RD",
"address_2": "SUITE 114",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605638949",
"telephone_number": "630-548-0700",
"fax_number": "630-548-9070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIANSON",
"first_name": "KENT",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2010-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-008040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Nov 23, 2010; 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.