Active NPI
Anthony Di Carlo, D.C.
- Chiropractor
- Batavia, IL
National Provider Identifier
1467433219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038006500
- Practice address
- 34 N Water St # 201
Batavia, IL 60510-1986 - Phone
- (630) 879-6459
- Fax
- (630) 482-3093
- NPI assigned
- Nov 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | 038006500 | IL | Primary |
Addresses
Primary practice location
34 N Water St # 201
Batavia, IL 60510-1986
Mailing address
34 N Water St # 201
Batavia, IL 60510-1986
Phone (630) 879-6459
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080229000660 | IL | Practitioner - Chiropractic | 8628152568 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038006500 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420588800000",
"number": "1467433219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 N WATER ST # 201",
"city": "BATAVIA",
"state": "IL",
"postal_code": "605101986",
"telephone_number": "630-879-6459",
"fax_number": "630-482-3093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 N WATER ST # 201",
"city": "BATAVIA",
"state": "IL",
"postal_code": "605101986",
"telephone_number": "630-879-6459",
"fax_number": "630-482-3093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DI CARLO",
"first_name": "ANTHONY",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2015-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038006500",
"primary": true
}
],
"identifiers": [],
"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 Jan 7, 2015; 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.