Organization Active NPI

Massey Family Chiropractic & Wellness Center PC

  • Chiropractor
  • St Charles, IL
National Provider Identifier
1922047984
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-010356 Issued in IL
Legal business name
MASSEY FAMILY CHIROPRACTIC & WELLNESS CENTER PC
Practice address
2435 Dean Street
Unit D
St Charles, IL 60175-4827
Phone
(630) 444-1599
Fax
(630) 444-1825
NPI assigned
Jun 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Authorized official

Name
Dr. Erin Elizabeth Massey, DC
Title
President
Phone
(630) 444-1599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038-010356 IL Primary

Addresses

Primary practice location

2435 Dean Street
Unit D
St Charles, IL 60175-4827

Mailing address

2435 Dean Street
Unit D
St Charles, IL 60175-4827
Phone (630) 444-1599

Other identifiers 1

IdentifierTypeStateIssuer
04532295OtherILBLUE CROSS BLUS SHIELD

National Provider Directory

National Provider Directory

Locations

40W177 Campton Crossings Dr
Unit A
St Charles, IL 60175
Phone (630) 444-1599

2435 Dean St
Unit D
St Charles, IL 60175
Phone (630) 444-1599

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1922047984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 DEAN STREET",
            "address_2": "UNIT D",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601754827",
            "telephone_number": "630-444-1599",
            "fax_number": "630-444-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 DEAN STREET",
            "address_2": "UNIT D",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601754827",
            "telephone_number": "630-444-1599",
            "fax_number": "630-444-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSEY FAMILY CHIROPRACTIC & WELLNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-444-1599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUS SHIELD",
            "identifier": "04532295",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.