Active NPI
Jaron Boggs
- Chiropractor
- Downers Grove, IL
National Provider Identifier
1013441070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038013036
- Practice address
- 5157 Main St Ste 200
Downers Grove, IL 60515-4862 - Phone
- (630) 435-6461
- NPI assigned
- Apr 17, 2017
- Last updated
- Apr 17, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038013036 | IL | Primary |
Addresses
Primary practice location
5157 Main St Ste 200
Downers Grove, IL 60515-4862
Mailing address
20 Finley Rd Apt 1C
Glen Ellyn, IL 60137-6097
Phone (260) 602-8684
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Chiropractic and Wellness Center LTD | Past | Accepting new patients |
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.
-
- Medical Specialty Clinic/Center
- Downers Grove, IL
- NPI 1124253836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492387200000",
"number": "1013441070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 FINLEY RD APT 1C",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601376097",
"telephone_number": "260-602-8684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5157 MAIN ST STE 200",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605154862",
"telephone_number": "630-435-6461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGGS",
"first_name": "JARON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-17",
"last_updated": "2017-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038013036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.