Individual provider Active NPI

Andrew M Kiper, D.C.

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1700332293
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038013006 Issued in IL
Practice address
1828 W Wilson Ave
Chicago, IL 60640-5204
Phone
(773) 828-9506
NPI assigned
Aug 25, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038013006 IL Primary

Addresses

Primary practice location

1828 W Wilson Ave
Chicago, IL 60640-5204

Mailing address

PO Box 180021
Chicago, IL 60618-1713
Phone (773) 828-9506

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
038013006ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Spine and Wellness Inc Chiropractor CurrentSince Jul 24, 2022 Accepting new patients

Locations

1828 W Wilson Ave
Chicago, IL 60640
Phone (773) 828-9506

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": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1700332293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180021",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606181713",
            "telephone_number": "773-828-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 W WILSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405204",
            "telephone_number": "773-828-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPER",
        "first_name": "ANDREW",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013006",
            "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 Jul 21, 2022; 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.