Organization Active NPI

Midwest Upper Cervical

  • Chiropractor
  • Shorewood, IL
National Provider Identifier
1902133580
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011501 Issued in IL
Legal business name
MIDWEST UPPER CERVICAL
Practice address
1005 Ridge Rd
Shorewood, IL 60404-9621
Phone
(815) 685-1663
NPI assigned
Nov 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2009

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

Authorized official

Name
Dr. Brett N Nash, D.C.
Title
Owner/Doctor
Phone
(815) 685-1663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038011501 IL Primary

Addresses

Primary practice location

1005 Ridge Rd
Shorewood, IL 60404-9621

Mailing address

1005 Ridge Rd
Shorewood, IL 60404-9621
Phone (815) 685-1663

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1902133580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 RIDGE RD",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604049621",
            "telephone_number": "815-685-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 RIDGE RD",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604049621",
            "telephone_number": "815-685-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST UPPER CERVICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "815-685-1663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shorewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.