Active NPI
Douglas M. Gregerson, D.C.
- Radiology Chiropractor
- Geneva, IL
National Provider Identifier
1659355139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Chiropractor
- Practice address
- 0 S. 630 Preston CR
Geneva, IL 60134 - Phone
- (630) 845-0862
- Fax
- (630) 578-1018
- NPI assigned
- Nov 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Chiropractor | 111NR0200X | IL | Primary |
Addresses
Primary practice location
0 S. 630 Preston CR
Geneva, IL 60134
Mailing address
0 S. 630 Preston CR
Geneva, IL 60134
Phone (630) 845-0862
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038005324 | IL | MD | Radiology Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National University of Health Sciences | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/11209/brand/1/csg/1/fhir/r4
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.
-
- Chiropractor
- Lombard, IL
- NPI 1316079775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659355139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "0 S. 630 PRESTON CR",
"city": "GENEVA",
"state": "IL",
"postal_code": "60134",
"telephone_number": "630-845-0862",
"fax_number": "630-578-1018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "0 S. 630 PRESTON CR",
"city": "GENEVA",
"state": "IL",
"postal_code": "60134",
"telephone_number": "630-845-0862",
"fax_number": "630-578-1018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGERSON",
"first_name": "DOUGLAS",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0200X",
"taxonomy_group": "",
"desc": "Chiropractor, Radiology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Geneva, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.