Organization Active NPI

Katherinebendis LLC

  • Chiropractor
  • Bloomingdale, IL
National Provider Identifier
1275930398
Registry record updated Jan 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011873 Issued in IL
Legal business name
KATHERINEBENDIS LLC
Practice address
303 E Army Trail Rd Ste 101
Bloomingdale, IL 60108-2140
Phone
(630) 220-1031
NPI assigned
Dec 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2015

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

Authorized official

Name
Dr. Katheirne Bendis, DC
Title
Chiropractic Physician
Phone
(630) 529-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038011873 IL Primary

Addresses

Primary practice location

303 E Army Trail Rd Ste 101
Bloomingdale, IL 60108-2140

Mailing address

303 E Army Trail Rd Ste 101
Bloomingdale, IL 60108-2140
Phone (630) 220-1031

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150220002179 IL Part B Supplier - Clinic/Group Practice 8325363070 Receives reassigned benefits from 1 practitioner
Practice locations: Bloomingdale, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422662400000",
    "number": "1275930398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD STE 101",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082140",
            "telephone_number": "630-220-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD STE 101",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082140",
            "telephone_number": "630-220-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINEBENDIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2015-01-31",
        "status": "A",
        "authorized_official_last_name": "BENDIS",
        "authorized_official_first_name": "KATHEIRNE",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "630-529-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2015; 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.

Verify at the official NPI Registry.