Organization Active NPI

Dr. Dans Chiropractic Services

  • Chiropractor
  • Round Lake Beach, IL
National Provider Identifier
1316068687
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DR. DANS CHIROPRACTIC SERVICES
Practice address
314 W Rollins Rd Ste a
Round Lake Beach, IL 60073-1204
Phone
(847) 546-4220
Fax
(847) 546-4262
NPI assigned
Apr 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Daniel M Vanderweit, D.CNPI 1588669618
Title
Chiropractor
Phone
(847) 546-4220

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 IL Primary

Addresses

Primary practice location

314 W Rollins Rd Ste a
Round Lake Beach, IL 60073-1204

Mailing address

314 W Rollins Rd Ste a
Round Lake Beach, IL 60073-1204
Phone (847) 546-4220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240717001903 WI Part B Supplier - Clinic/Group Practice 3971607797 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Geneva, WI

National Provider Directory

National Provider Directory

Locations

314 W Rollins Rd
Ste A
Round Lake Beach, IL 60073
Phone (847) 546-4220

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316068687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W ROLLINS RD STE A",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600731204",
            "telephone_number": "847-546-4220",
            "fax_number": "847-546-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W ROLLINS RD STE A",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600731204",
            "telephone_number": "847-546-4220",
            "fax_number": "847-546-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DANS CHIROPRACTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANDERWEIT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "847-546-4220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Lake Beach, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.