Mira Dhutia, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-009287 Issued in IL

Practice address

3450 Montgomery Rd
Suite # 21
Aurora, IL 60504-3149

Phone

(630) 236-8600

Fax

(630) 236-8612

NPI assigned

Jan 11, 2007

Last updated

Jun 16, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Mira Kachrani Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Spinal Rehab & Wellness Center PC

  • Chiropractor
  • Aurora, IL
  • NPI 1093891798
  Medicare reassignment Authorized official
• Post Rehabilitative Solutions, Inc

  • Chiropractor
  • Aurora, IL
  • NPI 1346457330
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1316097611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 MONTGOMERY RD",
            "address_2": "SUITE # 21",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605043149",
            "telephone_number": "630-236-8600",
            "fax_number": "630-236-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 MONTGOMERY RD",
            "address_2": "SUITE # 21",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605043149",
            "telephone_number": "630-236-8600",
            "fax_number": "630-236-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHUTIA",
        "first_name": "MIRA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 2 FOR SRWC",
            "identifier": "1093891798",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "364447019",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRA",
            "last_name": "KACHRANI",
            "prefix": "DR.",
            "credential": "D.C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Audrey Desbles
• Jordan Devera
• F. Frederick Devett, LCSW
• Rosalie P Deyoung, MA, LCPC
• Shiv Dhawan
• Montaha Diab
• Jennifer Diamond
• Diana L. Slaviero, PH.D., P.C.
• Aron Diaz
• Elissa Diaz, M.A.

• Chiropractor in Aurora, IL
• Providers in Aurora, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.