Individual provider Active NPI

Joseph J Solan, D.C.

  • Chiropractor
  • Vandalia, IL
National Provider Identifier
1720091150
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-008912 Issued in IL
Practice address
427 W Orchard St
Ste B
Vandalia, IL 62471-1256
Phone
(618) 283-0029
Fax
(618) 283-4675
NPI assigned
Aug 15, 2006
Last updated
May 2, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-008912 IL Primary

Addresses

Primary practice location

427 W Orchard St
Ste B
Vandalia, IL 62471-1256

Mailing address

3782 E 1800TH Ave
Shumway, IL 62461-2020
Phone (217) 821-9934

Other identifiers 1

IdentifierTypeStateIssuer
038-008912OtherILCHIROPRACTIC PHYSICIAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120111000225 IL Practitioner - Chiropractic 2466628870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

427 W Orchard St
Suite B
Vandalia, IL 62471-1256
Phone (618) 283-0029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-008912ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph J Solan P.C. CurrentSince Oct 31, 2011 Accepting new patients
Precision XP LLC PastSince Apr 29, 2017 Accepting new patients

Locations

212 N 4th St
Effingham, IL 62401
Phone (217) 347-5812

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1720091150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3782 E 1800TH AVE",
            "city": "SHUMWAY",
            "state": "IL",
            "postal_code": "624612020",
            "telephone_number": "217-821-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 W ORCHARD ST",
            "address_2": "STE B",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624711256",
            "telephone_number": "618-283-0029",
            "fax_number": "618-283-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLAN",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC PHYSICIAN",
            "identifier": "038-008912",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vandalia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.