Individual provider Active NPI

Anthony Michael Colando, D.C.

  • Chiropractor
  • Bloomingdale, IL
National Provider Identifier
1417379371
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012573 Issued in IL
Practice address
360 W. Schick Rd.
Units 11 & 12
Bloomingdale, IL 60108
Phone
(630) 464-1646
NPI assigned
Jan 13, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012573 IL Primary

Addresses

Primary practice location

360 W. Schick Rd.
Units 11 & 12
Bloomingdale, IL 60108

Mailing address

360 W. Schick Rd.
Units 11 & 12
Bloomingdale, IL 60108
Phone (630) 464-1646

Other identifiers 1

IdentifierTypeStateIssuer
1682591OtherILBLUE CROSS BLUE SHIELD PPO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140218001472 IL Practitioner - Chiropractic 1456580380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

360 W Schick Rd
Suite 11
Bloomingdale, IL 60108-2965
Phone (630) 671-9850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038012573ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Colando Chiropractic Clinic PC Chiropractor CurrentSince Sep 13, 2017 Accepting new patients

Locations

360 W Schick Rd
Ste 11
Bloomingdale, IL 60108
Phone (630) 464-1646

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": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1417379371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W. SCHICK RD.",
            "address_2": "UNITS 11 & 12",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "60108",
            "telephone_number": "630-464-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W. SCHICK RD.",
            "address_2": "UNITS 11 & 12",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "60108",
            "telephone_number": "630-464-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLANDO",
        "first_name": "ANTHONY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PPO",
            "identifier": "1682591",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.