Organization Active NPI

Sharratt Chiropractic LLC

  • Chiropractor
  • Batavia, IL
National Provider Identifier
1831407451
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-007729 Issued in IL
Legal business name
SHARRATT CHIROPRACTIC LLC
Practice address
940 W Wilson St
Batavia, IL 60510-1606
Phone
(630) 406-8088
NPI assigned
Sep 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Authorized official

Name
Dr. Jack Sharratt, D.C.NPI 1407809593
Title
Doctor
Phone
(630) 406-8088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038-007729 IL Primary

Addresses

Primary practice location

940 W Wilson St
Batavia, IL 60510-1606

Mailing address

940 W Wilson St
Batavia, IL 60510-1606

Other identifiers 5

IdentifierTypeStateIssuer
10760504OtherCAQH
350055033OtherRAILROAD MEDICARE
038007729MedicaidIL
5039304OtherAETNA
4527042OtherBLUE CROSS BLUE SHIELD

Other names 1

  • Sharratt Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110510000914 IL Part B Supplier - Clinic/Group Practice 5991981821 Receives reassigned benefits from 1 practitioner
Practice locations: Batavia, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1831407451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 W WILSON ST",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605101606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 W WILSON ST",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605101606",
            "telephone_number": "630-406-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARRATT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "SHARRATT",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "630-406-8088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-007729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10760504",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350055033",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038007729",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5039304",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4527042",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sharratt Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Batavia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.