Individual provider Active NPI

Chad D Wasson, D.C.

  • Rehabilitation Chiropractor
  • Naperville, IL
National Provider Identifier
1053469692
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
038-008808 Issued in IL
Practice address
1555 N Naperville Wheaton Rd
Suite 206
Naperville, IL 60563-1557
Phone
(630) 848-1708
Fax
(630) 566-1585
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 038-008808 IL Primary

Addresses

Primary practice location

1555 N Naperville Wheaton Rd
Suite 206
Naperville, IL 60563-1557

Mailing address

1555 N Naperville Wheaton Rd
Suite 206
Naperville, IL 60563-1557
Phone (630) 848-1708

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

LicenseStateTypeSpecialty
038-008808ILMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Spine & Joint Rehabilitation Service Corp PastSince Dec 1, 2005 Accepting new patients
Treatment Center for Metabolic Disorders and Research Institute SC Past Accepting new patients

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242864000000",
    "number": "1053469692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 N NAPERVILLE WHEATON RD",
            "address_2": "SUITE 206",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631557",
            "telephone_number": "630-848-1708",
            "fax_number": "630-566-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 N NAPERVILLE WHEATON RD",
            "address_2": "SUITE 206",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631557",
            "telephone_number": "630-848-1708",
            "fax_number": "630-566-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSON",
        "first_name": "CHAD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2009-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038-008808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.