Individual provider Active NPI

Tristyn John Hasmer

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1487415386
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038014104 Issued in IL
Practice address
922 W Diversey Pkwy
Chicago, IL 60614-1416
Phone
(773) 529-0057
Fax
(773) 529-0231
NPI assigned
Jan 17, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038014104 IL Primary

Addresses

Primary practice location

922 W Diversey Pkwy
Chicago, IL 60614-1416

Mailing address

922 W Diversey Pkwy
Chicago, IL 60614-1416
Phone (773) 529-0057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
038014104ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Spine and Sports, P.C. CurrentSince Jan 21, 2024 Accepting new patients
Chicago Family Chiropractic Care PastSince Jan 21, 2024 Accepting new patients

Locations

922 W Diversey Pkwy
Chicago, IL 60614
Phone (773) 529-0057

Organizations & group practices 2

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": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1487415386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 W DIVERSEY PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141416",
            "telephone_number": "773-529-0057",
            "fax_number": "773-529-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 W DIVERSEY PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141416",
            "telephone_number": "773-529-0057",
            "fax_number": "773-529-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASMER",
        "first_name": "TRISTYN",
        "middle_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038014104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.