NPIMap

Organization Active NPI

Pins Family Chiropractic

  • Chiropractor
  • Naperville, IL
National Provider Identifier
1356547939
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038008344 Issued in IL
Legal business name
PINS FAMILY CHIROPRACTIC
Practice address
1250 S Naper Blvd
Naperville, IL 60540-8312
Phone
(630) 527-9100
Fax
(630) 527-9129
NPI assigned
Jun 21, 2007
Last updated
Oct 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Authorized official

Name
Dr. Bradley William Pins, D.C.NPI 1912076167
Title
Owner
Phone
(630) 527-9100

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
Chiropractor 111N00000X 038008344 IL Primary

Addresses

Primary practice location

1250 S Naper Blvd
Naperville, IL 60540-8312

Mailing address

1250 S Naper Blvd
Naperville, IL 60540-8312
Phone (630) 527-9100

Other identifiers 2

IdentifierTypeStateIssuer
038008344MedicaidIL
04526037MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Pins Family Chiropracti2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1250 S Naper Blvd
Naperville, IL 60540
Phone (630) 301-0054

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

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": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1356547939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S NAPER BLVD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605408312",
            "telephone_number": "630-527-9100",
            "fax_number": "630-527-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S NAPER BLVD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605408312",
            "telephone_number": "630-527-9100",
            "fax_number": "630-527-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINS FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "PINS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-527-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038008344",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04526037",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.