Individual provider Active NPI

Nathan Andrew Vuagniaux, D.C.

  • Chiropractor
  • Edwardsville, IL
National Provider Identifier
1518040583
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-008971 Issued in IL
Practice address
309 Hillsboro Ave
Edwardsville, IL 62025-1727
Phone
(618) 307-9494
Fax
(618) 307-9494
NPI assigned
Oct 23, 2006
Last updated
Aug 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-008971 IL Primary

Addresses

Primary practice location

309 Hillsboro Ave
Edwardsville, IL 62025-1727

Mailing address

309 Hillsboro Ave
Edwardsville, IL 62025-1727
Phone (618) 307-9494

Other identifiers 4

IdentifierTypeStateIssuer
AS4.201OtherMOBLUECROSS BLUESHIELD
060.256.52OtherILBLUECROSS BLUESHIELD
196.385.4OtherILUNITEDHEALTHCARE
427.415OtherILHEALTHLINK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120312000024 IL Practitioner - Chiropractic 9830358811 Practice locations: Edwardsville, IL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

309 Hillsboro Ave
Edwardsville, IL 62025-1727
Phone (618) 307-9494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-008971ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Cervical Care of Alton LLC Past Accepting new patients
Vuagniaux Upper Cervical, LLC Chiropractor Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1518040583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 HILLSBORO AVE",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620251727",
            "telephone_number": "618-307-9494",
            "fax_number": "618-307-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 HILLSBORO AVE",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620251727",
            "telephone_number": "618-307-9494",
            "fax_number": "618-307-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUAGNIAUX",
        "first_name": "NATHAN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "AS4.201",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "060.256.52",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "196.385.4",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "427.415",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwardsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.