Individual provider Active NPI

Kyle S Goerschler, DC

  • Chiropractor
  • Gilberts, IL
National Provider Identifier
1891088936
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011935 Issued in IL
Practice address
154 Timber Trails Blvd
Gilberts, IL 60136-4058
Phone
(847) 951-9307
NPI assigned
May 23, 2011
Last updated
Mar 9, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011935 IL Primary

Addresses

Primary practice location

154 Timber Trails Blvd
Gilberts, IL 60136-4058

Mailing address

1821 Hicks Rd
Ste B
Rolling Meadows, IL 60008-1274
Phone (847) 951-9307

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111121000302 IL Practitioner - Chiropractic 2264606615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1821 Hicks Rd
Suite B
Rolling Meadows, IL 60008-1274
Phone (847) 496-7175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038011935ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Inertia Health Center, S.C. Chiropractor CurrentSince Aug 15, 2011 Accepting new patients

Locations

1821 Hicks Rd
Ste B
Rolling Meadows, IL 60008
Phone (847) 496-7175

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": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1891088936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 HICKS RD",
            "address_2": "STE B",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600081274",
            "telephone_number": "847-951-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 TIMBER TRAILS BLVD",
            "city": "GILBERTS",
            "state": "IL",
            "postal_code": "601364058",
            "telephone_number": "847-951-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOERSCHLER",
        "first_name": "KYLE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-23",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilberts, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.