Active NPI
Adam Sebastian Mozdzien, D.C.
- Chiropractor
- Norridge, IL
National Provider Identifier
1932528403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038012596
- Practice address
- 4830 N Cumberland Ave
Suite 9
Norridge, IL 60706-2966 - Phone
- (708) 769-0910
- NPI assigned
- Apr 14, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038012596 | IL | Primary |
| Sports Physician Chiropractor | 111NS0005X | 038012596 | IL |
Addresses
Primary practice location
4830 N Cumberland Ave
Suite 9
Norridge, IL 60706-2966
Mailing address
4830 N Cumberland Ave
Suite 9
Norridge, IL 60706-2966
Phone (708) 769-0910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397433600000",
"number": "1932528403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4830 N CUMBERLAND AVE",
"address_2": "SUITE 9",
"city": "NORRIDGE",
"state": "IL",
"postal_code": "607062966",
"telephone_number": "708-769-0910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4830 N CUMBERLAND AVE",
"address_2": "SUITE 9",
"city": "NORRIDGE",
"state": "IL",
"postal_code": "607062966",
"telephone_number": "708-769-0910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOZDZIEN",
"first_name": "ADAM",
"middle_name": "SEBASTIAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-14",
"last_updated": "2014-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038012596",
"primary": true
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "IL",
"license": "038012596",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.