Active NPI
Claire Kacena
- Chiropractor
- Chicago, IL
National Provider Identifier
1962869396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5708
- Practice address
- 10 S. Lasalle, Ste 1110
Chicago, IL 60603 - Phone
- (312) 445-0580
- NPI assigned
- Jan 15, 2016
- Sex
- Female
- 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 | 038013049 | IL | |
| Chiropractor | 111N00000X | 5708 | OR | Primary |
Addresses
Primary practice location
10 S. Lasalle, Ste 1110
Chicago, IL 60603
Mailing address
1004 NW Milwaukee Ave
Suite 200
Bend, OR 97701
Phone (541) 312-9794
Other practice location 1
1004 NW Milwaukee Ave
Suite 200
Bend, OR 97701
Phone (541) 312-9794
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038013049 | IL | MD | Chiropractor |
| 5708 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548633600000",
"number": "1962869396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 NW MILWAUKEE AVE",
"address_2": "SUITE 200",
"city": "BEND",
"state": "OR",
"postal_code": "97701",
"telephone_number": "541-312-9794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 S. LASALLE, STE 1110",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60603",
"telephone_number": "312-445-0580"
}
],
"practiceLocations": [
{
"address_1": "1004 NW Milwaukee Ave",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "97701",
"country_code": "US",
"telephone_number": "541-312-9794",
"fax_number": "541-312-9795",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KACENA",
"first_name": "CLAIRE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-15",
"last_updated": "2019-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038013049",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "5708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.