Organization Active NPI

Pain Stop Chiropractic Inc

  • Chiropractor
  • Naperville, IL
National Provider Identifier
1548912835
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PAIN STOP CHIROPRACTIC INC
Doing business as
Naperville Wellness and Salt cave
Practice address
1324 E Ogden Ave Ste 100
Naperville, IL 60563-2347
Phone
(630) 718-1111
Fax
(630) 718-1110
NPI assigned
Jan 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Authorized official

Name
Dr. Jaesun Ma, DCNPI 1043695224
Title
President
Phone
(224) 363-1717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1324 E Ogden Ave Ste 100
Naperville, IL 60563-2347

Mailing address

370 Hobble Bush Dr
Lake Zurich, IL 60047-2740

Other practice location 1

1326 N Milwaukee Ave
Chicago, IL 60622-9148
Phone (773) 342-2081

Other names 1

  • Naperville Wellness and Salt cave Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240528001227 IL Part B Supplier - Clinic/Group Practice 7618319344 Receives reassigned benefits from 1 practitioner
Practice locations: Naperville, IL

National Provider Directory

National Provider Directory

Locations

1324 E Ogden Ave
Naperville, IL 60563

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1548912835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 HOBBLE BUSH DR",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 E OGDEN AVE STE 100",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632347",
            "telephone_number": "630-718-1111",
            "fax_number": "630-718-1110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1326 N Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606229148",
            "country_code": "US",
            "telephone_number": "773-342-2081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAIN STOP CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "JAESUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-363-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Naperville Wellness and Salt cave",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.