Active NPI
Massey Family Chiropractic & Wellness Center PC
- Chiropractor
- St Charles, IL
National Provider Identifier
1922047984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-010356
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04532295 | Other | IL | BLUE CROSS BLUS SHIELD |
National Provider Directory
National Provider DirectoryLocations
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.