Individual provider Active NPI

Kyrie E Kleinfelter, DC

  • Chiropractor
  • St Charles, IL
National Provider Identifier
1467492199
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009555 Issued in IL
Practice address
1750 E Main St
Suite 140
St Charles, IL 60174-2363
Phone
(630) 584-5200
Fax
(630) 584-8370
NPI assigned
Jun 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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 038009555 IL Primary

Addresses

Primary practice location

1750 E Main St
Suite 140
St Charles, IL 60174-2363

Mailing address

1750 E Main St
Suite 140
St Charles, IL 60174-2363
Phone (630) 584-5200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060831000221 IL Practitioner - Chiropractic 9436153673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1750 E Main St
Suite 140
Saint Charles, IL 60174-2363
Phone (630) 584-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038009555ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
1St Place Chiropractic, LTD Chiropractor CurrentSince Apr 13, 2007 Accepting new patients

Locations

1750 E Main St
Ste 140
St Charles, IL 60174
Phone (630) 584-5200

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, 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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467492199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 E MAIN ST",
            "address_2": "SUITE 140",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742363",
            "telephone_number": "630-584-5200",
            "fax_number": "630-584-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 E MAIN ST",
            "address_2": "SUITE 140",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742363",
            "telephone_number": "630-584-5200",
            "fax_number": "630-584-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINFELTER",
        "first_name": "KYRIE",
        "middle_name": "E",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, 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.