Individual provider Active NPI

Catherine Edith Kunevich, DC

  • Chiropractor
  • Smithton, IL
National Provider Identifier
1871081679
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038013073 Issued in IL
Practice address
13 S Main St
Smithton, IL 62285-1705
Phone
(618) 520-1177
NPI assigned
Apr 26, 2018
Last updated
Jul 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038013073 IL Primary

Addresses

Primary practice location

13 S Main St
Smithton, IL 62285-1705

Mailing address

724 Lunch Rd
Smithton, IL 62285-2544

Other practice location 1

307 Ogden Ave
Downers Grove, IL 60515-3142
Phone (630) 515-0025

Other names 1

  • Dr. Catherine Kerperien Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200928001453 IL Practitioner - Chiropractic 6709205560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13 S Main St
Suite 3
Smithton, IL 62285-1705
Phone (618) 266-2696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038013073ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kunevich Chiropractic and Acupuncture, PLLC Chiropractor CurrentSince Oct 10, 2020 Accepting new patients

Locations

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

13 S Main St
Ste 3
Smithton, IL 62285
Phone (618) 266-2696

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": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1871081679",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 S MAIN ST",
            "city": "SMITHTON",
            "state": "IL",
            "postal_code": "622851705",
            "telephone_number": "618-520-1177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 Ogden Ave",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605153142",
            "country_code": "US",
            "telephone_number": "630-515-0025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNEVICH",
        "first_name": "CATHERINE",
        "middle_name": "EDITH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "KERPERIEN",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.