Charles W Chapple DC SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

042616694 Issued in IL

Legal business name

CHARLES W CHAPPLE DC SC

Doing business as

Advanced Chiropractic Health Center

Practice address

360 E Irving Park Rd
Roselle, IL 60172-2007

Phone

(630) 894-8778

Fax

(630) 894-8873

NPI assigned

Feb 20, 2007

Last updated

Jun 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles W Chapple, DCNPI 1679696736

Title

Chiropractor Owner

Phone

(630) 894-8778

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Advanced Chiropractic Health Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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.

• Charles W Chapple, DC FICPA

  • Chiropractor
  • Roselle, IL
  • NPI 1679696736
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1396880241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E IRVING PARK RD",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601722007",
            "telephone_number": "630-894-8778",
            "fax_number": "630-894-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E IRVING PARK RD",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601722007",
            "telephone_number": "630-894-8778",
            "fax_number": "630-894-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES W CHAPPLE DC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "CHAPPLE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIROPRACTOR OWNER",
        "authorized_official_telephone_number": "630-894-8778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "042616694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "02221909",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0618371001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Chiropractic Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Center for Alternative Primary Care
• Veronica Chaidez
• Raili Chan, OT
• Peter Sung Jong Chang, D.D.S.
• Charles W Chapple, DC FICPA
• Gagandeep Cheema
• Chris Ciaschini, CMC
• Carol Clark
• Julia Marie Clark, OTR
• Angelina Coleman

• Chiropractor in Roselle, IL
• Providers in Roselle, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.