Active NPI
Andrew Michael Harrison, D.C.
- Chiropractor
- McHenry, IL
National Provider Identifier
1902805310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.011740
- Practice address
- 3643 Municipal Dr
McHenry, IL 60050-5434 - Phone
- (815) 759-1100
- Fax
- (815) 344-1208
- NPI assigned
- Jul 18, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038.011740 | IL | Primary |
Addresses
Primary practice location
3643 Municipal Dr
McHenry, IL 60050-5434
Mailing address
3643 Municipal Dr
McHenry, IL 60050-5434
Phone (815) 759-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F400154860 | Other | IL | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3643 Municipal Dr
McHenry, IL 60050-5434
Phone (815) 759-1100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4093 | WI | MD | Clinical Social Worker |
| 038.011740 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Partners, S.C. | Chiropractor | Past | Accepting new patients |
| Hetz Management, S.C. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Chiropractor
- McHenry, IL
- NPI 1790092153
-
- Chiropractor
- Waukesha, WI
- NPI 1871713289
-
- Chiropractor
- Waukesha, WI
- NPI 1497989073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653350400000",
"number": "1902805310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3643 MUNICIPAL DR",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600505434",
"telephone_number": "815-759-1100",
"fax_number": "815-344-1208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3643 MUNICIPAL DR",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600505434",
"telephone_number": "815-759-1100",
"fax_number": "815-344-1208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "ANDREW",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.011740",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "F400154860",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McHenry, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.