Individual provider Active NPI

Kathleen A Martens, D.C.

  • Chiropractor
  • Woodridge, IL
National Provider Identifier
1447225693
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009832 Issued in IL
Practice address
7501 Lemont Rd
Suite 345
Woodridge, IL 60517-2653
Phone
(630) 985-7700
Fax
(630) 910-1079
NPI assigned
Feb 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038009832 IL Primary

Addresses

Primary practice location

7501 Lemont Rd
Suite 345
Woodridge, IL 60517-2653

Mailing address

7501 Lemont Rd
Suite 345
Woodridge, IL 60517-2653
Phone (630) 985-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038009832ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Elevated Health Essentials, LLC Chiropractor Past Accepting new patients
Stucky Chiropractic Center SC Chiropractor PastSince Apr 10, 2000 Accepting new patients
Koldenhoven Chiropractic LLC Chiropractor Past Accepting new patients

Organizations & group practices 3

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1447225693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 LEMONT RD",
            "address_2": "SUITE 345",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172653",
            "telephone_number": "630-985-7700",
            "fax_number": "630-910-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 LEMONT RD",
            "address_2": "SUITE 345",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172653",
            "telephone_number": "630-985-7700",
            "fax_number": "630-910-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTENS",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.