Organization Active NPI

Experience Chiropractic

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1134201668
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011363 Issued in IL
Legal business name
EXPERIENCE CHIROPRACTIC
Practice address
1971 N Fremont St
Suite 3
Chicago, IL 60614-3591
Phone
(480) 313-8862
Fax
(773) 409-5706
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Authorized official

Name
Dr. David Douglas Warman, D.C.NPI 1174547434
Title
Chiropractor/Owner
Phone
(480) 313-8862

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 038011363 IL Primary

Addresses

Primary practice location

1971 N Fremont St
Suite 3
Chicago, IL 60614-3591

Mailing address

1971 N Fremont St
Suite 3
Chicago, IL 60614-3591
Phone (480) 313-8862

National Provider Directory

National Provider Directory

Locations

4206 E Chandler Blvd
Ste 1
Phoenix, AZ 85048
Phone (480) 704-2107

4530 E Muirwood Dr
Ste 109
Phoenix, AZ 85048
Phone (480) 704-2107

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1134201668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 N FREMONT ST",
            "address_2": "SUITE 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143591",
            "telephone_number": "480-313-8862",
            "fax_number": "773-409-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 N FREMONT ST",
            "address_2": "SUITE 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143591",
            "telephone_number": "480-313-8862",
            "fax_number": "773-409-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERIENCE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "WARMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "480-313-8862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011363",
            "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 Sep 22, 2009; 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.