Active NPI
Andrew Bryan Seppala, D.C.
- Chiropractor
- North Aurora, IL
National Provider Identifier
1265790992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5665
- Practice address
- 1297 Kilbery LN
North Aurora, IL 60542-4604 - Phone
- (952) 239-6235
- NPI assigned
- May 1, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5665 | MN | Primary |
| Radiology Chiropractor | 111NR0200X | 038012287 | IL |
Addresses
Primary practice location
1297 Kilbery LN
North Aurora, IL 60542-4604
Mailing address
1297 Kilbery LN
North Aurora, IL 60542-4604
Phone (952) 239-6235
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038012287 | IL | MD | Radiology Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460592000000",
"number": "1265790992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1297 KILBERY LN",
"city": "NORTH AURORA",
"state": "IL",
"postal_code": "605424604",
"telephone_number": "952-239-6235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1297 KILBERY LN",
"city": "NORTH AURORA",
"state": "IL",
"postal_code": "605424604",
"telephone_number": "952-239-6235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEPPALA",
"first_name": "ANDREW",
"middle_name": "BRYAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-01",
"last_updated": "2016-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5665",
"primary": true
},
{
"code": "111NR0200X",
"taxonomy_group": "",
"desc": "Chiropractor, Radiology",
"state": "IL",
"license": "038012287",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.