Organization Active NPI

Richard S. Hyde, SC

  • Chiropractor
  • Wheaton, IL
National Provider Identifier
1255300232
Registry record updated Oct 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-009095 Issued in IL
Legal business name
RICHARD S. HYDE, SC
Practice address
416 E Roosevelt Rd
#108
Wheaton, IL 60187-5589
Phone
(630) 665-0788
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2013

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

Authorized official

Name
Richard S Hyde, DC
Title
Owner
Phone
(630) 665-0788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038-009095 IL Primary

Addresses

Primary practice location

416 E Roosevelt Rd
#108
Wheaton, IL 60187-5589

Mailing address

416 E Roosevelt Rd
#108
Wheaton, IL 60187-5589

Other identifiers 1

IdentifierTypeStateIssuer
0002227038OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

416 E Roosevelt Rd
Ste 108
Wheaton, IL 60187
Phone (630) 665-0788

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1255300232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 E ROOSEVELT RD",
            "address_2": "#108",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 E ROOSEVELT RD",
            "address_2": "#108",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875589",
            "telephone_number": "630-665-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD S. HYDE, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "HYDE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-665-0788",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0002227038",
            "state": "IL"
        }
    ],
    "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 Oct 18, 2013; 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.