Dan Khampraseut, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038009696 Issued in IL

Practice address

530 Fullerton Rd Ste B
Swansea, IL 62226-2970

Phone

(618) 233-3324

Fax

(618) 233-4758

NPI assigned

Jun 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Dan Khampraseut Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital Hospital, Belleville, IL, CCN 140185

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healthpointe Medical Center SC

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Swansea, IL
  • NPI 1033699467
  Medicare reassignment NPD
• Peak Wellness Therapy PC

  • Chiropractor
  • Swansea, IL
  • NPI 1518710979
  Medicare reassignment NPD
• Dr Dan Khampraseut

  • Chiropractor
  • Belleville, IL
  • NPI 1740454065
  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Protestant Memorial Medical Center, Inc.

  • General Acute Care Hospital
  • Belleville, IL
  • NPI 1982796181
  Care Compare affiliation

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649548800000",
    "number": "1881620102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 FULLERTON RD",
            "address_2": "SUITE B",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262970",
            "telephone_number": "618-233-3324",
            "fax_number": "618-233-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 FULLERTON RD STE B",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262970",
            "telephone_number": "618-233-3324",
            "fax_number": "618-233-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAMPRASEUT",
        "first_name": "DAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2022-04-10",
        "certification_date": "2022-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS",
            "identifier": "038009696",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drkhampraseut@gmail.com",
            "affiliation": "N",
            "address_1": "530 Fullerton Rd Ste B",
            "city": "Swansea",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622262970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DAN",
            "last_name": "KHAMPRASEUT",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Chiropractor in Swansea, IL
• Providers in Swansea, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2022; 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.