Individual provider Active NPI

Kristina Elayne Bemis, D.C.

  • Chiropractor
  • Alton, IL
National Provider Identifier
1396128807
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012837 Issued in IL
Practice address
4105 Humbert Rd
Alton, IL 62002-7161
Phone
(618) 463-1600
NPI assigned
Jul 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 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 038012837 IL Primary

Addresses

Primary practice location

4105 Humbert Rd
Alton, IL 62002-7161

Mailing address

PO Box 796
Alton, IL 62002-0796
Phone (618) 463-1600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150728005383 IL Practitioner - Chiropractic 3375857881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bemis Tupman Chiropractic LLCGroup PAC ID 2163753021, 3 clinicians

Practice addresses (Care Compare)

4105 Humbert Rd
Suite 102
Alton, IL 62002-7161
Phone (618) 463-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bemis Tupman Chiropractic LLC Chiropractor CurrentSince Nov 1, 2019 Accepting new patients

Locations

4105 Humbert Rd
Ste 102
Alton, IL 62002
Phone (618) 463-1600

4105 Humbert Rd
#102
Alton, IL 62002
Phone (618) 463-1600

Organizations & group practices 1

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": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1396128807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 796",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620020796",
            "telephone_number": "618-463-1600",
            "fax_number": "618-463-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 HUMBERT RD",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620027161",
            "telephone_number": "618-463-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEMIS",
        "first_name": "KRISTINA",
        "middle_name": "ELAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.