Organization Active NPI

Dr.Joseph Mayotte D.C P.C

  • Chiropractor
  • Bradley, IL
National Provider Identifier
1639392913
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-003901 Issued in IL
Legal business name
DR.JOSEPH MAYOTTE D.C P.C
Practice address
956 W Broadway St
Bradley, IL 60915-2011
Phone
(815) 933-2246
Fax
(815) 933-3717
NPI assigned
Apr 11, 2007
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Joseph Mayotte, D.C
Title
Owner
Phone
(815) 933-2246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-003901 IL Primary

Addresses

Primary practice location

956 W Broadway St
Bradley, IL 60915-2011

Mailing address

956 W Broadway St
Bradley, IL 60915-2011
Phone (815) 933-2246

National Provider Directory

National Provider Directory

Locations

956 W Broadway St
Bradley, IL 60915
Phone (815) 933-2246

956 W Broadway St
Ofc
Bradley, IL 60915
Phone (815) 933-2246

Practitioners & affiliated clinicians

Practitioners 2

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": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1639392913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 W BROADWAY ST",
            "city": "BRADLEY",
            "state": "IL",
            "postal_code": "609152011",
            "telephone_number": "815-933-2246",
            "fax_number": "815-933-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 W BROADWAY ST",
            "city": "BRADLEY",
            "state": "IL",
            "postal_code": "609152011",
            "telephone_number": "815-933-2246",
            "fax_number": "815-933-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.JOSEPH MAYOTTE D.C P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "MAYOTTE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-933-2246",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-003901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradley, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.