Individual provider Active NPI

Timothy Patrick Bessette, D.C.

  • Chiropractor
  • Villa Park, IL
National Provider Identifier
1407863640
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038007039 Issued in IL
Practice address
401 E North Ave
Suite 3
Villa Park, IL 60181-1218
Phone
(630) 782-6637
Fax
(630) 782-0726
NPI assigned
Aug 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038007039 IL Primary

Addresses

Primary practice location

401 E North Ave
Suite 3
Villa Park, IL 60181-1218

Mailing address

401 E North Ave Ste 3
Villa Park, IL 60181-1218
Phone (630) 782-6637

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051216000337 IL Practitioner - Chiropractic 9537180617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

401 E N Ave
Suite 3
Villa Park, IL 60181-1218
Phone (630) 782-6637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038007039ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bessette Chiropractic, P.C. Chiropractor CurrentSince Jan 16, 2013 Accepting new patients

Locations

401 E North Ave
Ste 3
Villa Park, IL 60181
Phone (630) 782-6637

Organizations & group practices 1

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407863640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E NORTH AVE STE 3",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601811218",
            "telephone_number": "630-782-6637",
            "fax_number": "630-782-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E NORTH AVE",
            "address_2": "SUITE 3",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601811218",
            "telephone_number": "630-782-6637",
            "fax_number": "630-782-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESSETTE",
        "first_name": "TIMOTHY",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.