Organization Active NPI

Elite Performance Insitute LLC

  • Chiropractor
  • Naperville, IL
National Provider Identifier
1073936480
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012465 Issued in IL
Legal business name
ELITE PERFORMANCE INSITUTE LLC
Practice address
1112 S Washington St
Suite 114a
Naperville, IL 60540-7959
Phone
(331) 472-4326
NPI assigned
Jan 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Authorized official

Name
Dr. Brian Damhoff, DC MSNPI 1932540911
Title
Owner/Chiropractor
Phone
(331) 472-4326

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038012465 IL Primary

Addresses

Primary practice location

1112 S Washington St
Suite 114a
Naperville, IL 60540-7959

Mailing address

1112 S Washington St
Suite 114a
Naperville, IL 60540-7959
Phone (331) 472-4326

National Provider Directory

National Provider Directory

Locations

1112 S Washington St
Ste 114A
Naperville, IL 60540
Phone (331) 472-4326

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1073936480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 S WASHINGTON ST",
            "address_2": "SUITE 114A",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407959",
            "telephone_number": "331-472-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 S WASHINGTON ST",
            "address_2": "SUITE 114A",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407959",
            "telephone_number": "331-472-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PERFORMANCE INSITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "DAMHOFF",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "331-472-4326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC MS"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012465",
            "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 Jan 22, 2014; 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.