Individual provider Active NPI

Dana Kalombo, DAC, LAC, LMT

  • Acupuncturist
  • Glen Ellyn, IL
National Provider Identifier
1780427922
Registry record updated Jun 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198001654 Issued in IL
Practice address
800 Roosevelt Rd Ste E220
Glen Ellyn, IL 60137-5868
Phone
(630) 277-9551
NPI assigned
Jun 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198001654 IL Primary

Addresses

Primary practice location

800 Roosevelt Rd Ste E220
Glen Ellyn, IL 60137-5868

Mailing address

800 Roosevelt Rd Ste E220
Glen Ellyn, IL 60137-5868
Phone (630) 277-9551

Other practice location 1

7702 Cass Ave Ste 240
Darien, IL 60561-5109
Phone (630) 277-9551

Other practice location 2

3060 Ogden Ave Ste 102
Lisle, IL 60532-1686
Phone (630) 277-9551

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
198001654ILMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Gentle Healer Acupuncture PLLC Acupuncturist Current Accepting new patients

Locations

800 Roosevelt Rd
Ste E220
Glen Ellyn, IL 60137
Phone (630) 469-1527

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": "1718409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718409600000",
    "number": "1780427922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROOSEVELT RD STE E220",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375868",
            "telephone_number": "630-277-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROOSEVELT RD STE E220",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375868",
            "telephone_number": "630-277-9551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7702 Cass Ave Ste 240",
            "address_purpose": "LOCATION",
            "city": "Darien",
            "state": "IL",
            "postal_code": "605615109",
            "country_code": "US",
            "telephone_number": "630-277-9551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3060 Ogden Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Lisle",
            "state": "IL",
            "postal_code": "605321686",
            "country_code": "US",
            "telephone_number": "630-277-9551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALOMBO",
        "first_name": "DANA",
        "name_prefix": "Dr.",
        "credential": "DAC, LAC, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-15",
        "last_updated": "2024-06-15",
        "certification_date": "2024-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198001654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2024; 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.