Andrea Marie Dewasme

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-009326 Issued in IL

Practice address

1526 Creek Dr
Morris, IL 60450-6862

Phone

(815) 416-1132

Fax

(815) 416-1135

NPI assigned

Aug 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Andrea M Buckman Professional name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Oak Creek Healthcare, LTD

  dba Twin Oaks Chiropractic

  • Chiropractor
  • Morris, IL
  • NPI 1457477671
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1679586747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 E NORTH ST",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604502345",
            "telephone_number": "815-416-1132",
            "fax_number": "815-416-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 CREEK DR",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604506862",
            "telephone_number": "815-416-1132",
            "fax_number": "815-416-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWASME",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3232011",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "BUCKMAN",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Eric Duane Denny, PMHNP-BC
• Dental Professionals of Illinois, P.C. (Prairie Place Family Dental)
• Emily Devaux
• Alexandra Kay Devries, OT
• Lucinda Dewaele-Guzman, APN
• Dialysis Centers of America - Illinois, Inc. (RCG Central Illinois-Morris)
• Abigail Diaz, LCSW
• Ramon Diaz Jr., MA
• Digestive Health Associates, P.C.
• Digestive Health Associates, P.C.

• Chiropractor in Morris, IL
• Providers in Morris, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.