Individual provider Active NPI

Jason P Godo, D.C., R.N.

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1821272535
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38010089 Issued in IL
Practice address
3118 N Sheffield Ave
Unit 1S
Chicago, IL 60657-8680
Phone
(773) 525-0007
NPI assigned
Dec 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38010089 IL Primary
Registered Nurse 163W00000X 041432301 IL

Addresses

Primary practice location

3118 N Sheffield Ave
Unit 1S
Chicago, IL 60657-8680

Mailing address

3118 N Sheffield Ave
Unit 1S
Chicago, IL 60657-8680
Phone (773) 525-0007

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040715000224 IL Practitioner - Chiropractic 6305824848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3118 N Sheffield Ave
Suite 1S
Chicago, IL 60657-8680
Phone (773) 525-0007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
38010089ILMDChiropractor
041432301ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Jason P. Godo, DC, SC Chiropractor CurrentSince Jan 1, 2004 Accepting new patients

Locations

3118 N Sheffield Ave
Chicago, IL 60657

3118 N Sheffield Ave
Ste 1S
Chicago, IL 60657
Phone (773) 525-0007

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": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1821272535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 N SHEFFIELD AVE",
            "address_2": "UNIT 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606578680",
            "telephone_number": "773-525-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 N SHEFFIELD AVE",
            "address_2": "UNIT 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606578680",
            "telephone_number": "773-525-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODO",
        "first_name": "JASON",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.C., R.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-18",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "38010089",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041432301",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.