Organization Active NPI

Hayes Chiropractic & Physical Therapy Center

  • Chiropractor
  • Glen Ellyn, IL
National Provider Identifier
1558522052
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038006943 Issued in IL
Legal business name
HAYES CHIROPRACTIC & PHYSICAL THERAPY CENTER
Practice address
435 Taft Ave
Glen Ellyn, IL 60137-6295
Phone
(630) 790-1010
Fax
(630) 790-1091
NPI assigned
Jun 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. John Keith Hayes, DCNPI 1285678144
Title
Owner
Phone
(630) 790-1010

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 038006943 IL Primary

Addresses

Primary practice location

435 Taft Ave
Glen Ellyn, IL 60137-6295

Mailing address

435 Taft Ave
Glen Ellyn, IL 60137-6295
Phone (630) 790-1010

Other identifiers 3

IdentifierTypeStateIssuer
1285678144OtherTYPE 1 NPI NUMBER
038006943MedicaidIL
1619060OtherILBCBS

National Provider Directory

National Provider Directory

Locations

435 Taft Ave
Glen Ellyn, IL 60137
Phone (630) 469-0915

Practitioners & affiliated clinicians

Practitioners 2

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": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1558522052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 TAFT AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376295",
            "telephone_number": "630-790-1010",
            "fax_number": "630-790-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 TAFT AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376295",
            "telephone_number": "630-790-1010",
            "fax_number": "630-790-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYES CHIROPRACTIC & PHYSICAL THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-790-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038006943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI NUMBER",
            "identifier": "1285678144",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038006943",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1619060",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.