Individual provider Active NPI

Katie S King, D.C.

  • Chiropractor
  • West Dundee, IL
National Provider Identifier
1295910354
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.011092 Issued in IL
Practice address
600 Spring Hill Ring Rd Ste 111
West Dundee, IL 60118-7301
Phone
(847) 915-4955
NPI assigned
Jan 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.011092 IL Primary

Addresses

Primary practice location

600 Spring Hill Ring Rd Ste 111
West Dundee, IL 60118-7301

Mailing address

190 Winding Canyon Way
Algonquin, IL 60102-5030
Phone (708) 955-1884

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090108000778 IL Practitioner - Chiropractic 0446313910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

600 Spring Hill Ring Rd
Suite 111
West Dundee, IL 60118-7301
Phone (847) 915-4955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.011092ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
King Family Wellness LLC Chiropractor CurrentSince Feb 1, 2023 Accepting new patients
Dupage Wellness S C Chiropractor PastSince Feb 6, 2013 Accepting new patients
Great Lakes Health & Wellness,SC Chiropractor PastSince Aug 26, 2009 Accepting new patients
Martens Chiropractic and Acupuncture Center, S.C. Chiropractor Past Accepting new patients

Locations

600 Spring Hill Ring Rd
Ste 111
West Dundee, IL 60118
Phone (847) 915-4955

Organizations & group practices 4

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": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1295910354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 WINDING CANYON WAY",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025030",
            "telephone_number": "708-955-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SPRING HILL RING RD STE 111",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601187301",
            "telephone_number": "847-915-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KATIE",
        "middle_name": "S",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Dundee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.