Active NPI
Richard R. Fay, DC
- Chiropractor
- Naperville, IL
National Provider Identifier
1669570677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-004257
- Practice address
- 1795 S Washington St Ste 109
Naperville, IL 60565-2058 - Phone
- (331) 401-5900
- Fax
- (331) 215-7318
- NPI assigned
- Sep 21, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-004257 | IL | Primary |
Addresses
Primary practice location
1795 S Washington St Ste 109
Naperville, IL 60565-2058
Mailing address
2S567 White Birch LN
Wheaton, IL 60187-1614
Phone (630) 961-0259
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02232874 | Other | IL | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1795 S Washington St
Suite 109
Naperville, IL 60565-2058
Phone (331) 401-5900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-004257 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Health and Physical Therapy Center SC | Current | Accepting new patients |
Locations
1795 S Washington St
Ste 109
Naperville, IL 60565
Phone (331) 401-5900
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.
-
- Clinic/Center
- Naperville, IL
- NPI 1164586798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1669570677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2S567 WHITE BIRCH LN",
"city": "WHEATON",
"state": "IL",
"postal_code": "601871614",
"telephone_number": "630-961-0259",
"fax_number": "630-961-2406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1795 S WASHINGTON ST STE 109",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605652058",
"telephone_number": "331-401-5900",
"fax_number": "331-215-7318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAY",
"first_name": "RICHARD",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-004257",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "02232874",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.