Active NPI
Tapan Joshi, D.C.
- Chiropractor
- Bloomingdale, IL
National Provider Identifier
1780780395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-009838
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205343603 | Other | IL | TAX ID PRACTICE UNDER |
| 02233015 | Other | IL | BCBS PROVIDER # |
| 038009838 | Other | IL | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 038-009838 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JSK Medical Associates, P.C. | Chiropractor | Current | 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.
-
- Chiropractor
- Lodi, NJ
- NPI 1851443964
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.