Active NPI
Timothy Ryan Villaverde
- Chiropractor
- Mount Prospect, IL
National Provider Identifier
1316655442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.013903
- Practice address
- 104 W Rand Rd Ste a
Mount Prospect, IL 60056-1130 - Phone
- (847) 499-1890
- NPI assigned
- Nov 8, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038.013903 | IL | Primary |
Addresses
Primary practice location
104 W Rand Rd Ste a
Mount Prospect, IL 60056-1130
Mailing address
1126 E Juniper LN
Mount Prospect, IL 60056-1453
Other practice location 1
878 Roosevelt Rd
Glen Ellyn, IL 60137-6057
Phone (630) 590-0124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.013903 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Better Movement Health and Wellness PLLC | Chiropractor | Current | Accepting new patients |
| Better Movement Health and Wellness PLLC | Chiropractor | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Chiropractor
- Wheaton, IL
- NPI 1851263941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667865600000",
"number": "1316655442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1126 E JUNIPER LN",
"city": "MOUNT PROSPECT",
"state": "IL",
"postal_code": "600561453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W RAND RD STE A",
"city": "MOUNT PROSPECT",
"state": "IL",
"postal_code": "600561130",
"telephone_number": "847-499-1890"
}
],
"practiceLocations": [
{
"address_1": "878 Roosevelt Rd",
"address_purpose": "LOCATION",
"city": "Glen Ellyn",
"state": "IL",
"postal_code": "601376057",
"country_code": "US",
"telephone_number": "630-590-0124",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VILLAVERDE",
"first_name": "TIMOTHY",
"middle_name": "RYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-08",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.013903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Prospect, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.