Coleman Chiropractic Sports Care P.C

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

Legal business name

COLEMAN CHIROPRACTIC SPORTS CARE P.C

Practice address

110 S 5TH Ave
Maywood, IL 60153-1308

Phone

(708) 338-3446

NPI assigned

Apr 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Darron Coleman, DCNPI 1649363904

Title

President/Owner

Phone

(708) 338-3446

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Darron Coleman, D.C.

  • Sports Physician Chiropractor
  • Maywood, IL
  • NPI 1649363904
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1457524563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S 5TH AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601531308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S 5TH AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601531308",
            "telephone_number": "708-338-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLEMAN CHIROPRACTIC SPORTS CARE P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "DARRON",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "708-338-3446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01623158",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brady Jay Coburn, MD
• Erin E Coglianese, M.D.
• Arielle Gaila Cohen
• Tyler David Cohn, MD
• Matthew Cole, MD
• Darron Coleman, D.C.
• Kalea Colletta
• Amanda Collins, DMD
• Elizabeth Ann Collins, M.D.
• Eliza Conaty, MA, MD

• Sports Physician Chiropractor in Maywood, IL
• Providers in Maywood, IL by specialty
• Sports Physician Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.