Individual provider Active NPI

Adam Sebastian Mozdzien, D.C.

  • Chiropractor
  • Norridge, IL
National Provider Identifier
1932528403
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012596 Issued in IL
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

Updated by the provider on Apr 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

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

Verify at the official NPI Registry.