Individual provider Active NPI

Donna Ficaro, D.C.

  • Orthopedic Chiropractor
  • Orland Park, IL
National Provider Identifier
1689606279
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
038-003987 Issued in IL
Practice address
9641 W 153Rd St
Suite 48
Orland Park, IL 60462-3775
Phone
(708) 403-0431
Fax
(708) 403-0699
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 038-003987 IL Primary
Nutritionist 133N00000X 164.006123 IL

Addresses

Primary practice location

9641 W 153Rd St
Suite 48
Orland Park, IL 60462-3775

Mailing address

7230 W 152ND PL
Orland Park, IL 60462-6668
Phone (708) 214-1123

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110211000916 IL Practitioner - ChiropracticPractitioner - Pain Management 7618157371 Practice locations: Orland Park, IL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-003987ILMDOrthopedic Chiropractor
164.006123ILMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1689606279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 W 152ND PL",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626668",
            "telephone_number": "708-214-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9641 W 153RD ST",
            "address_2": "SUITE 48",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623775",
            "telephone_number": "708-403-0431",
            "fax_number": "708-403-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICARO",
        "first_name": "DONNA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "IL",
            "license": "038-003987",
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "IL",
            "license": "164.006123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.