Individual provider Active NPI

Pat Fiore, DC

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1043371099
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038007070 Issued in IL
Practice address
5057 N Harlem Ave
Chicago, IL 60656-3501
Phone
(773) 631-5555
Fax
(773) 631-5557
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038007070 IL Primary

Addresses

Primary practice location

5057 N Harlem Ave
Chicago, IL 60656-3501

Mailing address

5057 N Harlem Ave
Chicago, IL 60656-3501
Phone (773) 631-5555

Other identifiers 1

IdentifierTypeStateIssuer
038007070OtherILLIC NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080821000319 IL Practitioner - Chiropractic 1658446968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5057 N Harlem Ave
Chicago, IL 60656-3501
Phone (773) 631-5555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038007070ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
5-Star Chiropractic, LTD. Chiropractor CurrentSince May 28, 2014 Accepting new patients
DX Medical and Physical Therapy Clinic LTD PastSince Mar 1, 2010 Accepting new patients

Locations

5057 N Harlem Ave
Chicago, IL 60656
Phone (773) 631-5555

Organizations & group practices 2

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1043371099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5057 N HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606563501",
            "telephone_number": "773-631-5555",
            "fax_number": "773-631-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5057 N HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606563501",
            "telephone_number": "773-631-5555",
            "fax_number": "773-631-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIORE",
        "first_name": "PAT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC NUMBER",
            "identifier": "038007070",
            "state": "IL"
        }
    ],
    "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 Apr 28, 2014; 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.