Individual provider Active NPI

Dipti N Kevat, DC

  • Chiropractor
  • Naperville, IL
National Provider Identifier
1861025199
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013411 Issued in IL
Practice address
3360 Lacrosse LN Ste 110
Naperville, IL 60564-8165
Phone
(630) 922-1700
NPI assigned
Feb 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.013411 IL Primary

Addresses

Primary practice location

3360 Lacrosse LN Ste 110
Naperville, IL 60564-8165

Mailing address

3360 Lacrosse LN Ste 110
Naperville, IL 60564-8165
Phone (630) 922-1700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210216000719 IL Practitioner - Chiropractic 2062827579 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.013411ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physicians, S.C. CurrentSince Apr 28, 2024 Accepting new patients
Boyce Chiropractic Lisle Chiropractor PastSince Feb 1, 2020 Accepting new patients

Locations

3052 Weber Dr
Aurora, IL 60502
Phone (630) 898-9700

16101 Weber Rd
Crest Hill, IL 60403
Phone (815) 306-1100

14330 S Will Cook Rd
Homer Glen, IL 60491
Phone (708) 645-0288

3360 Lacrosse Ln
Ste 110
Naperville, IL 60564
Phone (630) 922-1700

Organizations & group practices 2

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": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1861025199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3360 LACROSSE LN STE 110",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648165",
            "telephone_number": "630-922-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 LACROSSE LN STE 110",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648165",
            "telephone_number": "630-922-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEVAT",
        "first_name": "DIPTI",
        "middle_name": "N",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-14",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.