Individual provider Active NPI

Gareth Trichardt, D.C.

  • Chiropractor
  • Romeoville, IL
National Provider Identifier
1881794469
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038008014 Issued in IL
Practice address
197 W Romeo Rd
Romeoville, IL 60446-1564
Phone
(815) 293-3233
Fax
(815) 293-3235
NPI assigned
Sep 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038008014 IL Primary

Addresses

Primary practice location

197 W Romeo Rd
Romeoville, IL 60446-1564

Mailing address

219 Ashcroft LN
Oswego, IL 60543-8396
Phone (815) 302-4662

Other identifiers 2

IdentifierTypeStateIssuer
038008014MedicaidIL
2222329OtherILBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251229003485 AZ Practitioner - Chiropractic 0941276539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5285 W Bell Rd
Suite 100
Glendale, AZ 85308-3957

6224 Powell Rd
Parker, CO 80134-5619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Romeo Health Solutions, SC Chiropractor CurrentSince Oct 1, 2021 Accepting new patients
Elite Chiropractic and Wellness. LLC Chiropractor CurrentSince Oct 11, 2025 Accepting new patients
Naperville Rehabilitation and Pain Management Center, P.C. Chiropractor PastSince Apr 12, 2023 Accepting new patients
Empower Physical Therapy, S.C. Past Accepting new patients

Locations

5285 W Bell Rd
Ste 100
Glendale, AZ 85308
Phone (602) 460-3490

25 Alexander Cir
Ste 1
Romeoville, IL 60446
Phone (815) 293-3233

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881794469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 ASHCROFT LN",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438396",
            "telephone_number": "815-302-4662",
            "fax_number": "815-293-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 W ROMEO RD",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604461564",
            "telephone_number": "815-293-3233",
            "fax_number": "815-293-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRICHARDT",
        "first_name": "GARETH",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038008014",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2222329",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Romeoville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.