Organization Active NPI

Vanness Chiropractic SC

  • Chiropractor
  • Barrington, IL
National Provider Identifier
1386860260
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038008276 Issued in IL
Legal business name
VANNESS CHIROPRACTIC SC
Practice address
215 S Northwest Hwy Ste 102a
Barrington, IL 60010-4600
Phone
(847) 842-8070
Fax
(847) 382-1540
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Dr. Jason Howard Vanness, DCNPI 1134138829
Title
DC
Phone
(847) 842-8070

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
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 038008276 IL Primary

Addresses

Primary practice location

215 S Northwest Hwy Ste 102a
Barrington, IL 60010-4600

Mailing address

215 S Northwest Hwy Ste 102a
Barrington, IL 60010-4600
Phone (847) 842-8070

Other identifiers 1

IdentifierTypeStateIssuer
0004925791OtherILBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060406000275 IL Part B Supplier - Clinic/Group Practice 5991714735 Receives reassigned benefits from 1 practitioner
Practice locations: Barrington, IL

National Provider Directory

National Provider Directory

Locations

215 S Northwest Hwy
Ste 102A
Barrington, IL 60010
Phone (847) 842-8070

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1386860260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S NORTHWEST HWY STE 102A",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600104600",
            "telephone_number": "847-842-8070",
            "fax_number": "847-382-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S NORTHWEST HWY STE 102A",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600104600",
            "telephone_number": "847-842-8070",
            "fax_number": "847-382-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANNESS CHIROPRACTIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "VANNESS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "DC",
        "authorized_official_telephone_number": "847-842-8070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0004925791",
            "state": "IL"
        }
    ],
    "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 Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.