Individual provider Active NPI

Francis Puzon, D.C.

  • Chiropractor
  • Orland Park, IL
National Provider Identifier
1609206259
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012412 Issued in IL
Practice address
11975 W 143Rd St
Orland Park, IL 60467-7218
Phone
(815) 893-0404
NPI assigned
Nov 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012412 IL Primary

Addresses

Primary practice location

11975 W 143Rd St
Orland Park, IL 60467-7218

Mailing address

11975 W 143Rd St
Orland Park, IL 60467-7218
Phone (630) 802-3488

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190408000665 IL Practitioner - Chiropractic 2163763889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11975 W 143Rd St
Orland Park, IL 60467-7218
Phone (708) 645-4101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038012412ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Puzon Martinez Wellness LLC Chiropractor CurrentSince Feb 27, 2019 Accepting new patients

Locations

11975 W 143rd St
Orland Park, IL 60467
Phone (630) 802-3488

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": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1609206259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11975 W 143RD ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604677218",
            "telephone_number": "630-802-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11975 W 143RD ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604677218",
            "telephone_number": "815-893-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUZON",
        "first_name": "FRANCIS",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-18",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.