Individual provider Active NPI

Michael John Bagby, DC

  • Chiropractor
  • Arlington Heights, IL
National Provider Identifier
1184719932
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038008901 Issued in IL
Practice address
1040 S Arlington Heights Rd
#102
Arlington Heights, IL 60005-3170
Phone
(847) 870-0280
Fax
(847) 450-1717
NPI assigned
Oct 4, 2006
Last updated
Jun 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038008901 IL Primary

Addresses

Primary practice location

1040 S Arlington Heights Rd
#102
Arlington Heights, IL 60005-3170

Mailing address

1040 S Arlington Heights Rd
#102
Arlington Heights, IL 60005-3170
Phone (847) 870-0280

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
038008901ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Health Acupuncture and Chiropractic Chiropractor PastSince Jun 11, 2016 Accepting new patients
Des Plaines Chiropractic Center Chiropractor PastSince Nov 1, 1998 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1184719932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 S ARLINGTON HEIGHTS RD",
            "address_2": "#102",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053170",
            "telephone_number": "847-870-0280",
            "fax_number": "847-450-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 S ARLINGTON HEIGHTS RD",
            "address_2": "#102",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053170",
            "telephone_number": "847-870-0280",
            "fax_number": "847-450-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGBY",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.