Individual provider Active NPI

Adam Jacob Alcantar, DC

  • Chiropractor
  • Plainfield, IL
National Provider Identifier
1497480313
Registry record updated Jul 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013874 Issued in IL
Practice address
24020 W Riverwalk CT Ste 118
Plainfield, IL 60544-7123
Phone
(815) 782-7097
NPI assigned
Jul 24, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 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 038.013874 IL Primary

Addresses

Primary practice location

24020 W Riverwalk CT Ste 118
Plainfield, IL 60544-7123

Mailing address

6460 Double Eagle Dr Unit 312
Woodridge, IL 60517-1681
Phone (630) 863-3959

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
038.013874ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthsource of Plainfield LTD Chiropractor PastSince Jul 31, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658620800000",
    "number": "1497480313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6460 DOUBLE EAGLE DR UNIT 312",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171681",
            "telephone_number": "630-863-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24020 W RIVERWALK CT STE 118",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605447123",
            "telephone_number": "815-782-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCANTAR",
        "first_name": "ADAM",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-24",
        "last_updated": "2022-07-24",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2022; 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.