Active NPI
Josue David Ortiz, DC
- Chiropractor
- Chicago, IL
National Provider Identifier
1063155471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.013858
- Practice address
- 2018 S Michigan Ave
Chicago, IL 60616 - Phone
- (312) 753-3249
- NPI assigned
- Apr 14, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 038.013858 | IL | Primary |
Addresses
Primary practice location
2018 S Michigan Ave
Chicago, IL 60616
Mailing address
25 W Randolph St Apt 707
Chicago, IL 60601-3514
Phone (864) 412-9459
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.013858 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L&a Healing Studio | Chiropractor | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649894400000",
"number": "1063155471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 W RANDOLPH ST APT 707",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606013514",
"telephone_number": "864-412-9459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2018 S MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60616",
"telephone_number": "312-753-3249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "JOSUE",
"middle_name": "DAVID",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-14",
"last_updated": "2022-04-14",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.013858",
"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 Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.