Individual provider Active NPI

Kevin L. Cheely, DC

  • Chiropractor
  • East Alton, IL
National Provider Identifier
1346314333
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-004466 Issued in IL
Practice address
131 N Bellwood Dr Ste D
East Alton, IL 62024-2088
Phone
(618) 259-3333
Fax
(618) 259-3334
NPI assigned
Nov 20, 2006
Last updated
Oct 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-004466 IL Primary

Addresses

Primary practice location

131 N Bellwood Dr Ste D
East Alton, IL 62024-2088

Mailing address

131 N Bellwood Dr
Suite D
East Alton, IL 62024-2088
Phone (618) 259-3333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080905000013 IL Practitioner - Chiropractic 3375619968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-004466ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Draper Chiropractic LLC Chiropractor CurrentSince Dec 10, 2023 Accepting new patients

Locations

131 N Bellwood Dr
Ste B
East Alton, IL 62024
Phone (618) 259-3333

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1346314333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 N BELLWOOD DR",
            "address_2": "SUITE D",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620242088",
            "telephone_number": "618-259-3333",
            "fax_number": "618-259-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N BELLWOOD DR STE D",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620242088",
            "telephone_number": "618-259-3333",
            "fax_number": "618-259-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEELY",
        "first_name": "KEVIN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-004466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.