Individual provider Active NPI

Tapan Joshi, D.C.

  • Chiropractor
  • Bloomingdale, IL
National Provider Identifier
1780780395
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-009838 Issued in IL
Practice address
117 W Lake St
Bloomingdale, IL 60108-1006
Phone
(630) 351-0222
Fax
(773) 767-3944
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-009838 IL Primary

Addresses

Primary practice location

117 W Lake St
Bloomingdale, IL 60108-1006

Mailing address

107 W Lake St
Ste No103
Bloomingdale, IL 60108-1027
Phone (630) 351-0222

Other identifiers 3

IdentifierTypeStateIssuer
205343603OtherILTAX ID PRACTICE UNDER
02233015OtherILBCBS PROVIDER #
038009838OtherILLICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040323001430 IL Practitioner - Chiropractic 1254222714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

107 W Lake St
Bloomingdale, IL 60108-1027
Phone (630) 351-0222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-009838ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
JSK Medical Associates, P.C. Chiropractor CurrentSince Sep 25, 2006 Accepting new patients
New Jersey Total Health Center Chiropractor Past Accepting new patients
Illinois Multi-Med SC Chiropractor Past Accepting new patients
Whole Health Affiliates S.C. Chiropractor Past Accepting new patients

Locations

107 W Lake St
Ste 103
Bloomingdale, IL 60108
Phone (630) 351-0222

117 W Lake St
Bloomingdale, IL 60108
Phone (630) 351-0222

Organizations & group practices 4

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1780780395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W LAKE ST",
            "address_2": "STE NO103",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081027",
            "telephone_number": "630-351-0222",
            "fax_number": "773-767-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W LAKE ST",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081006",
            "telephone_number": "630-351-0222",
            "fax_number": "773-767-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSHI",
        "first_name": "TAPAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID PRACTICE UNDER",
            "identifier": "205343603",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "02233015",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "038009838",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.