Active NPI
Planet Chiropractic West Dundee
- Chiropractor
- West Dundee, IL
National Provider Identifier
1205059151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- PLANET CHIROPRACTIC WEST DUNDEE
- Practice address
- 758 S 8TH St
West Dundee, IL 60118-2102 - Phone
- (847) 836-5202
- Fax
- (847) 836-5209
- NPI assigned
- Apr 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew Dietz, D.C.
- Title
- Chiropractor
- Phone
- (847) 836-5202
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
758 S 8TH St
West Dundee, IL 60118-2102
Mailing address
758 S 8TH St
West Dundee, IL 60118-2102
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187308800000",
"number": "1205059151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "758 S 8TH ST",
"city": "WEST DUNDEE",
"state": "IL",
"postal_code": "601182102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "758 S 8TH ST",
"city": "WEST DUNDEE",
"state": "IL",
"postal_code": "601182102",
"telephone_number": "847-836-5202",
"fax_number": "847-836-5209"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLANET CHIROPRACTIC WEST DUNDEE",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-10",
"last_updated": "2007-08-17",
"status": "A",
"authorized_official_last_name": "DIETZ",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "847-836-5202",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Dundee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.