Organization Active NPI

Foundations Spine and Well Necessities LLC

  • Chiropractor
  • Palatine, IL
National Provider Identifier
1154930097
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FOUNDATIONS SPINE AND WELL NECESSITIES LLC
Practice address
2070 N Rand Rd Ste Ab
Palatine, IL 60074-2595
Phone
(714) 421-1974
NPI assigned
Jul 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Authorized official

Name
Vartan Chakalian, DCNPI 1942773882
Title
Owner/Lead Chiropractor
Phone
(714) 421-1974

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 Primary

Addresses

Primary practice location

2070 N Rand Rd Ste Ab
Palatine, IL 60074-2595

Mailing address

601 Deepwood Rd
Barrington, IL 60010-8611
Phone (714) 421-1974

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201007000369 IL Part B Supplier - Clinic/Group Practice 0042639247 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington Heights, IL

National Provider Directory

National Provider Directory

Locations

2010 S Arlington Heights Rd
Ste 215
Arlington Heights, IL 60005
Phone (773) 348-7003

2070 N Rand Rd
Ste Ab
Palatine, IL 60074
Phone (714) 421-1974

Practitioners & affiliated clinicians

Practitioners 2

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": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1154930097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 DEEPWOOD RD",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600108611",
            "telephone_number": "714-421-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 N RAND RD STE AB",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600742595",
            "telephone_number": "714-421-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS SPINE AND WELL NECESSITIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "CHAKALIAN",
        "authorized_official_first_name": "VARTAN",
        "authorized_official_title_or_position": "OWNER/LEAD CHIROPRACTOR",
        "authorized_official_telephone_number": "714-421-1974",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.