Organization Active NPI

Kunevich Chiropractic and Acupuncture, PLLC

  • Chiropractor
  • Smithton, IL
National Provider Identifier
1700404035
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KUNEVICH CHIROPRACTIC AND ACUPUNCTURE, PLLC
Practice address
13 S Main St Ste 3
Smithton, IL 62285-1705
Phone
(618) 520-1177
NPI assigned
Jul 13, 2020
Last updated
Oct 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Authorized official

Name
Dr. Catherine Edith Kunevich, DCNPI 1871081679
Title
Manager
Phone
(618) 520-1177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary
Acupuncturist 171100000X NU

Addresses

Primary practice location

13 S Main St Ste 3
Smithton, IL 62285-1705

Mailing address

724 Lunch Rd
Smithton, IL 62285-2544
Phone (618) 520-1177

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200928001554 IL Part B Supplier - Clinic/Group Practice 9032538897 Receives reassigned benefits from 1 practitioner
Practice locations: Smithton, IL

National Provider Directory

National Provider Directory

Locations

13 S Main St
Smithton, IL 62285
Phone (618) 266-2696

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1700404035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 LUNCH RD",
            "city": "SMITHTON",
            "state": "IL",
            "postal_code": "622852544",
            "telephone_number": "618-520-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 S MAIN ST STE 3",
            "city": "SMITHTON",
            "state": "IL",
            "postal_code": "622851705",
            "telephone_number": "618-520-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUNEVICH CHIROPRACTIC AND ACUPUNCTURE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "KUNEVICH",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "EDITH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "618-520-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.