Individual provider Active NPI

Jumpei Kawamata, D.C.

  • Chiropractor
  • Arlington Heights, IL
National Provider Identifier
1740394659
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009829 Issued in IL
Practice address
2010 S Arlington Heights Rd Ste 101
Arlington Heights, IL 60005-4100
Phone
(847) 956-3250
Fax
(847) 952-0606
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038009829 IL Primary

Addresses

Primary practice location

2010 S Arlington Heights Rd Ste 101
Arlington Heights, IL 60005-4100

Mailing address

2010 S Arlington Heights Rd Ste 101
Arlington Heights, IL 60005-4100
Phone (847) 956-3250

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040917000027 IL Practitioner - Chiropractic 8325016447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nihon Medical Clinic, S.C.Group PAC ID 2567623002, 3 clinicians

Practice addresses (Care Compare)

2010 S Arlington Heights Rd
Suite 101
Arlington Heights, IL 60005-4100
Phone (847) 952-8910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038009829ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nihon Medical Clinic, S.C. CurrentSince Apr 1, 2012 Accepting new patients

Locations

2010 S Arlington Heights Rd
Ste 101
Arlington Heights, IL 60005
Phone (847) 952-8910

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1740394659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 S ARLINGTON HEIGHTS RD STE 101",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054100",
            "telephone_number": "847-956-3250",
            "fax_number": "847-952-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 S ARLINGTON HEIGHTS RD STE 101",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054100",
            "telephone_number": "847-956-3250",
            "fax_number": "847-952-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWAMATA",
        "first_name": "JUMPEI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.