Individual provider Active NPI

Ryan D Hamm, D.C.

  • Chiropractor
  • Arlington Heights, IL
National Provider Identifier
1083642623
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038007530 Issued in IL
Practice address
415 W Golf Rd Ste 29
Arlington Heights, IL 60005-3923
Phone
(224) 875-7320
NPI assigned
Jun 30, 2006
Last updated
Aug 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038007530 IL Primary

Addresses

Primary practice location

415 W Golf Rd Ste 29
Arlington Heights, IL 60005-3923

Mailing address

510 Crossing CT
Rolling Meadows, IL 60008-2127
Phone (224) 210-9460

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090128000366 IL Practitioner - Chiropractic 5597829002 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

415 W Golf Rd
Arlington Heights, IL 60005-3923
Phone (224) 210-9460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038007530ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ultimate Body Fix SC CurrentSince Mar 3, 2020 Accepting new patients
Davenport Chiropractic Wellness Center PC CurrentSince Jul 16, 2019 Accepting new patients

Locations

3350 W Salt Creek Ln
Arlington Heights, IL 60005
Phone (224) 248-9449

3350 W Salt Creek Ln
Ste 109
Arlington Heights, IL 60005
Phone (847) 368-3200

415 W Golf Rd
Ste 29
Arlington Heights, IL 60005
Phone (224) 210-9460

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1083642623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 CROSSING CT",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600082127",
            "telephone_number": "224-210-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W GOLF RD STE 29",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053923",
            "telephone_number": "224-875-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMM",
        "first_name": "RYAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007530",
            "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 Aug 10, 2020; 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.