NPIMap

Organization Active NPI

Active Care Chiropractic & Rehabilitation, LTD.

  • Chiropractor
  • Arlington Heights, IL
National Provider Identifier
1053610204
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011597 Issued in IL
Legal business name
ACTIVE CARE CHIROPRACTIC & REHABILITATION, LTD.
Practice address
902 W Northwest Hwy
Arlington Heights, IL 60004-5345
Phone
(847) 749-0376
NPI assigned
Mar 26, 2011
Last updated
Oct 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Authorized official

Name
Dr. John David Cress, D.C.NPI 1053607481
Title
President
Phone
(847) 749-0376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011597 IL Primary

Addresses

Primary practice location

902 W Northwest Hwy
Arlington Heights, IL 60004-5345

Mailing address

902 W Northwest Hwy
Arlington Heights, IL 60004-5345
Phone (847) 748-0376

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120206000063 IL Part B Supplier - Clinic/Group Practice 3870750789 Receives reassigned benefits from 5 practitioners
Practice locations: Arlington Heights, IL

National Provider Directory

National Provider Directory

Locations

902 W Northwest Hwy
Arlington Heights, IL 60004
Phone (847) 749-0376

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1301097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1053610204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 W NORTHWEST HWY",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600045345",
            "telephone_number": "847-748-0376",
            "fax_number": "847-749-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 W NORTHWEST HWY",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600045345",
            "telephone_number": "847-749-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE CARE CHIROPRACTIC & REHABILITATION, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-26",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "CRESS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-749-0376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.