Individual provider Active NPI

Vishva Manmathdev Desai, DC

  • Chiropractor
  • Schaumburg, IL
National Provider Identifier
1790089456
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011857 Issued in IL
Practice address
80 West Hillcrest Blvd
Suite 208
Schaumburg, IL 60195
Phone
(630) 339-5300
Fax
(630) 339-5305
NPI assigned
Jan 10, 2011
Last updated
Feb 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011857 IL Primary

Addresses

Primary practice location

80 West Hillcrest Blvd
Suite 208
Schaumburg, IL 60195

Mailing address

80 West Hillcrest Blvd
Suite 208
Schaumburg, IL 60195
Phone (630) 339-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038011857ILMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1790089456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 WEST HILLCREST BLVD",
            "address_2": "SUITE 208",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "60195",
            "telephone_number": "630-339-5300",
            "fax_number": "630-339-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WEST HILLCREST BLVD",
            "address_2": "SUITE 208",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "60195",
            "telephone_number": "630-339-5300",
            "fax_number": "630-339-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "VISHVA",
        "middle_name": "MANMATHDEV",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.