Individual provider Active NPI

Joshua Lederman, D.C.

  • Chiropractor
  • Wheaton, IL
National Provider Identifier
1184047433
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012581 Issued in IL
Practice address
1275 Butterfield Rd
Ste 110
Wheaton, IL 60189-8849
Phone
(630) 551-0080
NPI assigned
Jan 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012581 IL Primary

Addresses

Primary practice location

1275 Butterfield Rd
Ste 110
Wheaton, IL 60189-8849

Mailing address

1275 Butterfield Rd
Ste 110
Wheaton, IL 60189-8849
Phone (630) 551-0080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140210000422 IL Practitioner - Chiropractic 6608005830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McAndrews Chiropractic Clinic LLCGroup PAC ID 1759622715, 2 clinicians

Practice addresses (Care Compare)

1275 Butterfield Rd
Suite 110
Wheaton, IL 60189-8849
Phone (630) 510-0080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038012581ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
McAndrews Chiropractic Clinic LLC Chiropractor CurrentSince Mar 4, 2019 Accepting new patients
Healing Rehab Physical Therapy SC CurrentSince Jun 18, 2015 Accepting new patients

Locations

125 S Bloomingdale Rd
Ste 11
Bloomingdale, IL 60108
Phone (224) 653-8094

1275 Butterfield Rd
Ste 110
Wheaton, IL 60189
Phone (630) 510-0080

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": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1184047433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 BUTTERFIELD RD",
            "address_2": "STE 110",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601898849",
            "telephone_number": "630-551-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 BUTTERFIELD RD",
            "address_2": "STE 110",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601898849",
            "telephone_number": "630-551-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDERMAN",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-22",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.