Individual provider Active NPI

Richard R. Fay, DC

  • Chiropractor
  • Naperville, IL
National Provider Identifier
1669570677
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-004257 Issued in IL
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

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02232874OtherILBLUE CROSS/BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070314000203 IL Practitioner - Chiropractic 6901909894 Reassigns benefits to 1 organization

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
Dupage Health and Physical Therapy Center SCGroup PAC ID 6800999798, 2 clinicians

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

LicenseStateTypeSpecialty
038-004257ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Health and Physical Therapy Center SC CurrentSince Mar 1, 2007 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.

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.

Verify at the official NPI Registry.