Active NPI
Jack David Sharratt, D.C.
- Chiropractor
- Batavia, IL
National Provider Identifier
1407809593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-007729
- Practice address
- 940 W Wilson St
Batavia, IL 60510-1606 - Phone
- (630) 406-8088
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-007729 | IL | Primary |
Addresses
Primary practice location
940 W Wilson St
Batavia, IL 60510-1606
Mailing address
940 W Wilson St
Batavia, IL 60510-1606
Phone (630) 406-8088
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038007729 | Medicaid | IL | |
| 350055033 | Other | RAILROAD MEDICARE | |
| 4527042 | Other | IL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-007729 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharratt Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Ryan Brinka P.C. | Chiropractor | Current | Accepting new patients |
Locations
940 W Wilson St
Batavia, IL 60510
Phone (630) 406-8088
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Batavia, IL
- NPI 1831407451
-
- Chiropractor
- Batavia, IL
- NPI 1376812453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298505600000",
"number": "1407809593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 W WILSON ST",
"city": "BATAVIA",
"state": "IL",
"postal_code": "605101606",
"telephone_number": "630-406-8088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 W WILSON ST",
"city": "BATAVIA",
"state": "IL",
"postal_code": "605101606",
"telephone_number": "630-406-8088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARRATT",
"first_name": "JACK",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2011-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-007729",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038007729",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350055033",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4527042",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Batavia, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.