Individual provider Active NPI

Cynthia M. Kadela, D.C.

  • Chiropractor
  • Joliet, IL
National Provider Identifier
1619027224
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-004373 Issued in IL
Practice address
823 N 129TH Infantry Dr
Joliet, IL 60435-8346
Phone
(815) 741-3200
Fax
(815) 741-8131
NPI assigned
Jan 12, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-004373 IL Primary

Addresses

Primary practice location

823 N 129TH Infantry Dr
Joliet, IL 60435-8346

Mailing address

823 N 129TH Infantry Dr
Joliet, IL 60435-8346
Phone (815) 741-3200

Other practice location 1

823 N 129th Infantry Dr
Joliet, IL 60435-8346
Phone (815) 741-3200

Other identifiers 1

IdentifierTypeStateIssuer
350054682OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120501000410 IL Practitioner - Chiropractic 2769644145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-004373ILMDChiropractor
038006857ILMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1619027224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 N 129TH INFANTRY DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358346",
            "telephone_number": "815-741-3200",
            "fax_number": "815-741-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 N 129TH INFANTRY DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358346",
            "telephone_number": "815-741-3200",
            "fax_number": "815-741-8131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "823 N 129th Infantry Dr",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604358346",
            "country_code": "US",
            "telephone_number": "815-741-3200",
            "fax_number": "815-741-8131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KADELA",
        "first_name": "CYNTHIA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-004373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350054682",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.