Individual provider Active NPI

Nicholas Deignan, D.C.

  • Chiropractor
  • Barrington, IL
National Provider Identifier
1366740128
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011878 Issued in IL
Practice address
777 Lake Zurich Rd
105
Barrington, IL 60010-3106
Phone
(847) 277-2990
Fax
(847) 277-2991
NPI assigned
Mar 3, 2011
Last updated
Oct 22, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4200 OH
Chiropractor 111N00000X 038011878 IL Primary

Addresses

Primary practice location

777 Lake Zurich Rd
105
Barrington, IL 60010-3106

Mailing address

777 Lake Zurich Rd
105
Barrington, IL 60010-3106
Phone (847) 277-2990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150804006112 IL Practitioner - Chiropractic 1850560921

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evolve Chiropractic Schaumburg PLLCGroup PAC ID 3274948757, 3 clinicians

Practice addresses (Care Compare)

1501 E Woodfield Rd
Suite 117E
Schaumburg, IL 60173-5416
Phone (847) 648-4931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038011878ILMDChiropractor
4200OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Chiropractic Schaumburg PLLC Chiropractor CurrentSince Oct 1, 2022 Accepting new patients
Beckett Ridge Chiropractic LLC Chiropractor CurrentSince Jul 14, 2011 Accepting new patients

Locations

10705 Ruth Rd
Huntley, IL 60142
Phone (847) 277-2990

1501 E Woodfield Rd
Ste 117E
Schaumburg, IL 60173
Phone (847) 648-4931

4936 Wunnenberg Way
West Chester, OH 45069
Phone (513) 860-5400

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1366740128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 LAKE ZURICH RD",
            "address_2": "105",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103106",
            "telephone_number": "847-277-2990",
            "fax_number": "847-277-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 LAKE ZURICH RD",
            "address_2": "105",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103106",
            "telephone_number": "847-277-2990",
            "fax_number": "847-277-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEIGNAN",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-03",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4200",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.