Individual provider Active NPI

David Allan Freeland, D.C.

  • Chiropractor
  • West Chicago, IL
National Provider Identifier
1124034061
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-007104 Issued in IL
Practice address
171 N Neltnor Blvd
West Chicago, IL 60185-2315
Phone
(630) 231-0777
Fax
(630) 231-0667
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-007104 IL Primary

Addresses

Primary practice location

171 N Neltnor Blvd
West Chicago, IL 60185-2315

Mailing address

171 N Neltnor Blvd
West Chicago, IL 60185-2315
Phone (630) 231-0777

Other identifiers 2

IdentifierTypeStateIssuer
10579712OtherILCAQH
0002208625OtherILBLUECROSS/BLUESHIELD

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
038-007104ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
MTB 1, Inc. Chiropractor PastSince Dec 26, 2011 Accepting new patients
West Chicago Chiropractic, LTD Chiropractor PastSince May 5, 1997 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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1124034061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 N NELTNOR BLVD",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601852315",
            "telephone_number": "630-231-0777",
            "fax_number": "630-231-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 N NELTNOR BLVD",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601852315",
            "telephone_number": "630-231-0777",
            "fax_number": "630-231-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREELAND",
        "first_name": "DAVID",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-007104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10579712",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "0002208625",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.