Individual provider Active NPI

Dylan P Drynan, DC

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1003845959
Registry record updated Jul 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-009583 Issued in IL
Practice address
1600 S Indiana Ave
Unit B
Chicago, IL 60616-4732
Phone
(312) 922-9868
Fax
(312) 922-9869
NPI assigned
Jul 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 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 038-009583 IL Primary

Addresses

Primary practice location

1600 S Indiana Ave
Unit B
Chicago, IL 60616-4732

Mailing address

1600 S Indiana Ave
Ste 2
Chicago, IL 60616-4733
Phone (312) 922-9868

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121112000616 IL Practitioner - Chiropractic 0042460420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Body Chiropractic LTDGroup PAC ID 7416107891, 3 clinicians

Practice addresses (Care Compare)

1600 S Indiana Ave
Suite 2
Chicago, IL 60616-4733
Phone (312) 922-9868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-009583ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Active Body Chiropractic LTD Chiropractor CurrentSince Sep 7, 2012 Accepting new patients

Locations

1600 S Indiana Ave
Ste 2
Chicago, IL 60616
Phone (312) 922-9868

1509 S State St
Chicago, IL 60605
Phone (312) 344-1384

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499299200000",
    "number": "1003845959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S INDIANA AVE",
            "address_2": "STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164733",
            "telephone_number": "312-922-9868",
            "fax_number": "312-922-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S INDIANA AVE",
            "address_2": "UNIT B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164732",
            "telephone_number": "312-922-9868",
            "fax_number": "312-922-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRYNAN",
        "first_name": "DYLAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2017-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009583",
            "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 Jul 6, 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.