Active NPI
Dan Arthur Niequist, D.C.
- Thermography Chiropractor
- Algonquin, IL
National Provider Identifier
1366444077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thermography Chiropractor
- License
- 38003530
- Practice address
- 1126 N Main St
Algonquin, IL 60102-3482 - Phone
- (847) 658-8514
- Fax
- (847) 658-8515
- NPI assigned
- Aug 12, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Thermography Chiropractor | 111NT0100X | 38003530 | IL | Primary |
Addresses
Primary practice location
1126 N Main St
Algonquin, IL 60102-3482
Mailing address
1126 N Main St
Algonquin, IL 60102-3482
Phone (847) 658-8514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05627052 | Other | IL | BLUE CROSS AND BLUE SHIEL |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38003530 | IL | MD | Thermography Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375660800000",
"number": "1366444077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1126 N MAIN ST",
"city": "ALGONQUIN",
"state": "IL",
"postal_code": "601023482",
"telephone_number": "847-658-8514",
"fax_number": "847-658-8515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1126 N MAIN ST",
"city": "ALGONQUIN",
"state": "IL",
"postal_code": "601023482",
"telephone_number": "847-658-8514",
"fax_number": "847-658-8515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEQUIST",
"first_name": "DAN",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2013-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "111NT0100X",
"taxonomy_group": "",
"desc": "Chiropractor, Thermography",
"state": "IL",
"license": "38003530",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIEL",
"identifier": "05627052",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Algonquin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.