Individual provider Active NPI

Shashank Saxena, DC

  • Independent Medical Examiner Chiropractor
  • Hoffman Estates, IL
National Provider Identifier
1457965170
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
038.013579 Issued in IL
Practice address
1580 Brittany LN
Hoffman Estates, IL 60192-1666
Phone
(224) 688-6660
NPI assigned
Sep 1, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NI0013X 038.013579 IL Primary

Addresses

Primary practice location

1580 Brittany LN
Hoffman Estates, IL 60192-1666

Mailing address

1580 Brittany LN
Hoffman Estates, IL 60192-1666
Phone (224) 688-6660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220120002011 IL Practitioner - Chiropractic 5890187090 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Illinois Medical PC Single Specialty Current Accepting new patients
Premise Health of Illinois Medical PC CurrentSince Oct 7, 2024 Accepting new patients
Premise Health of Illinois Medical PC CurrentSince Oct 7, 2024 Accepting new patients

Locations

6195 W 115th St
Ste A
Alsip, IL 60803
Phone (312) 262-7002

16906 Collection Ctr Dr
Chicago, IL 60693

4979 Indiana Ave
Lisle, IL 60532
Phone (312) 337-4150

5500 Maryland Way
Ste 120
Brentwood, TN 37027

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1457965170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 BRITTANY LN",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601921666",
            "telephone_number": "224-688-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 BRITTANY LN",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601921666",
            "telephone_number": "224-688-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAXENA",
        "first_name": "SHASHANK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "IL",
            "license": "038.013579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.