Individual provider Active NPI

Kelly Sheehan Czarniewski, DC

  • Chiropractor
  • Naperville, IL
National Provider Identifier
1437255767
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
1935 95TH Street
Suite 115
Naperville, IL 60564
Phone
(630) 718-0848
Fax
(630) 718-9868
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X IL Primary

Addresses

Primary practice location

1935 95TH Street
Suite 115
Naperville, IL 60564

Mailing address

1935 95TH Street
Suite 115
Naperville, IL 60564
Phone (630) 718-0848

Other identifiers 1

IdentifierTypeStateIssuer
02227561OtherILBCBS

Other names 1

  • Kelly Ann Sheehan Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101215001083 IL Practitioner - Chiropractic 9436347531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TCP of Naperville LLCGroup PAC ID 0042458929, 3 clinicians

Practice addresses (Care Compare)

1935 95TH St
Unit 115
Naperville, IL 60564-9685
Phone (630) 781-9511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
TCP of Naperville LLC Chiropractor CurrentSince Apr 1, 2013 Accepting new patients
Discover Chiropractic LTD Chiropractor PastSince Jul 1, 2001 Accepting new patients

Locations

1935 95th St
Unit 115
Naperville, IL 60564
Phone (630) 718-0848

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437255767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 95TH STREET",
            "address_2": "SUITE 115",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60564",
            "telephone_number": "630-718-0848",
            "fax_number": "630-718-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 95TH STREET",
            "address_2": "SUITE 115",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60564",
            "telephone_number": "630-718-0848",
            "fax_number": "630-718-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZARNIEWSKI",
        "first_name": "KELLY",
        "middle_name": "SHEEHAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02227561",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "SHEEHAN",
            "middle_name": "ANN",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.