Organization Active NPI

Arlington Family Chiropractic LTD

  • Chiropractor
  • Arlington Heights, IL
National Provider Identifier
1629106877
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-008354 Issued in IL
Legal business name
ARLINGTON FAMILY CHIROPRACTIC LTD
Practice address
1616 W Northwest Hwy
Arlington Heights, IL 60004-5254
Phone
(847) 398-3818
Fax
(847) 398-0138
NPI assigned
Mar 1, 2007
Last updated
Sep 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Authorized official

Name
Dr. Brent Alan Hendon, D.C.NPI 1669520037
Title
President
Phone
(847) 398-3818

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
Chiropractor 111N00000X 038-008354 IL Primary

Addresses

Primary practice location

1616 W Northwest Hwy
Arlington Heights, IL 60004-5254

Mailing address

1616 W Northwest Hwy
Arlington Heights, IL 60004-5254
Phone (847) 398-3818

Other identifiers 1

IdentifierTypeStateIssuer
1622026OtherILBLUECROSSBLUESHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070305000375 IL Part B Supplier - Clinic/Group Practice 0244333631 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington Heights, IL

National Provider Directory

National Provider Directory

Locations

1616 W Northwest Hwy
Arlington Heights, IL 60004
Phone (847) 398-3818

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1629106877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 W NORTHWEST HWY",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600045254",
            "telephone_number": "847-398-3818",
            "fax_number": "847-398-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 W NORTHWEST HWY",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600045254",
            "telephone_number": "847-398-3818",
            "fax_number": "847-398-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON FAMILY CHIROPRACTIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "HENDON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-398-3818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "1622026",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.