Organization Active NPI

Culture of Safety

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1437913068
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CULTURE OF SAFETY
Practice address
6961 N Clark St
Chicago, IL 60626-3222
Phone
(847) 790-4226
NPI assigned
Feb 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Dr. Kyren Epperson, KMT, AOBTA-CPNPI 1639932460
Title
Co-Owner
Phone
(847) 790-4226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

6961 N Clark St
Chicago, IL 60626-3222

Mailing address

6961 N Clark St
Chicago, IL 60626-3222

Other names 1

  • Culture of Safety Dojo & Wellness Center Other name

National Provider Directory

National Provider Directory

Locations

6961 N Clark St
Chicago, IL 60626
Phone (312) 469-0505

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": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1437913068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6961 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606263222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6961 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606263222",
            "telephone_number": "847-790-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTURE OF SAFETY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "EPPERSON",
        "authorized_official_first_name": "KYREN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "847-790-4226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "KMT, AOBTA-CP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Culture of Safety Dojo & Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.