Organization Active NPI

JSK Medical Associates, P.C.

Doing business as Sandman Chiropractic

  • Chiropractor
  • Bloomingdale, IL
National Provider Identifier
1184724874
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-009838 Issued in IL
Legal business name
JSK MEDICAL ASSOCIATES, P.C.
Doing business as
Sandman Chiropractic
Practice address
107 W Lake St
Suite 103
Bloomingdale, IL 60108-1027
Phone
(630) 351-0222
Fax
(773) 767-3944
NPI assigned
Sep 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Authorized official

Name
Tapan Joshi, DCNPI 1780780395
Title
President
Phone
(630) 388-8026

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 038-009838 IL Primary

Addresses

Primary practice location

107 W Lake St
Suite 103
Bloomingdale, IL 60108-1027

Mailing address

107 W Lake St
Suite 103
Bloomingdale, IL 60108-1027
Phone (630) 351-0222

Other identifiers 1

IdentifierTypeStateIssuer
02233015OtherILBCBS PROVIDER #

Other names 1

  • Sandman Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061214000128 IL Part B Supplier - Clinic/Group Practice 7911906284 Receives reassigned benefits from 1 practitioner
Practice locations: Bloomingdale, IL

National Provider Directory

National Provider Directory

Locations

107 W Lake St
Ste 103
Bloomingdale, IL 60108
Phone (630) 351-0222

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": "1158969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1184724874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W LAKE ST",
            "address_2": "SUITE 103",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081027",
            "telephone_number": "630-351-0222",
            "fax_number": "773-767-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W LAKE ST",
            "address_2": "SUITE 103",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081027",
            "telephone_number": "630-351-0222",
            "fax_number": "773-767-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSK MEDICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-23",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "JOSHI",
        "authorized_official_first_name": "TAPAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-388-8026",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "02233015",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandman Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.