Individual provider Active NPI

Kierah K Robinson, DN, LMT, RDH

  • Naprapath
  • Chicago, IL
National Provider Identifier
1669757332
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaprapathTaxonomy code 172P00000X
License
181000404 Issued in IL
Practice address
5305 S Harper Ave
Chicago, IL 60615-4506
Phone
(773) 587-0182
NPI assigned
Oct 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 020009052 IL
Massage Therapist 225700000X 227010183 IL
Naprapath 172P00000X 181000404 IL Primary

Addresses

Primary practice location

5305 S Harper Ave
Chicago, IL 60615-4506

Mailing address

1525 E 53Rd St Ste 810
Chicago, IL 60615-4578
Phone (773) 587-0182

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
020009052ILMDDental Hygienist
181000404ILMDNaprapath
227010183ILMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Manual Medicine, LLC Naprapath CurrentSince Sep 29, 2024 Accepting new patients

Locations

1525 E 53rd St
Ste 810
Chicago, IL 60615
Phone (773) 587-0182

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1669757332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 E 53RD ST STE 810",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154578",
            "telephone_number": "773-587-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5305 S HARPER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154506",
            "telephone_number": "773-587-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "KIERAH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DN, LMT, RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "IL",
            "license": "020009052",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227010183",
            "primary": false
        },
        {
            "code": "172P00000X",
            "taxonomy_group": "",
            "desc": "Naprapath",
            "state": "IL",
            "license": "181000404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 1, 2020; 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.