Individual provider Active NPI

Frank A Vaught Jr., DC

  • Chiropractor
  • Alsip, IL
National Provider Identifier
1174544316
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010171 Issued in IL
Practice address
11933 S Pulaski Rd Ste C1
Alsip, IL 60803-1100
Phone
(314) 704-5959
Fax
(708) 396-8605
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038010171 IL Primary

Addresses

Primary practice location

11933 S Pulaski Rd Ste C1
Alsip, IL 60803-1100

Mailing address

11933 S Pulaski Rd Ste C1
Alsip, IL 60803-1100
Phone (314) 704-5959

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041101000109 IL Practitioner - Chiropractic 6507828738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11933 S Pulaski Rd
Suite C1
Alsip, IL 60803-1100
Phone (314) 704-5959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038010171ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chicagoland Wellmed Center SC Chiropractor CurrentSince Sep 22, 2022 Accepting new patients
Health on Earth Chiropractic and Rehabilitation, LLC Chiropractor Past Accepting new patients

Locations

11933 S Pulaski Rd
Ste C
Alsip, IL 60803
Phone (314) 704-5959

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1174544316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11933 S PULASKI RD STE C1",
            "city": "ALSIP",
            "state": "IL",
            "postal_code": "608031100",
            "telephone_number": "314-704-5959",
            "fax_number": "708-396-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11933 S PULASKI RD STE C1",
            "city": "ALSIP",
            "state": "IL",
            "postal_code": "608031100",
            "telephone_number": "314-704-5959",
            "fax_number": "708-396-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHT",
        "first_name": "FRANK",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alsip, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.