Individual provider Active NPI

Vartan Chakalian, DC

  • Chiropractor
  • Palatine, IL
National Provider Identifier
1942773882
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013310 Issued in IL
Practice address
2070 N Rand Rd Ste Ab
Palatine, IL 60074-2595
Phone
(714) 421-1974
NPI assigned
Jan 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.013310 IL Primary

Addresses

Primary practice location

2070 N Rand Rd Ste Ab
Palatine, IL 60074-2595

Mailing address

601 Deepwood Rd
Barrington, IL 60010-8611
Phone (714) 421-1974

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201015000137 IL Practitioner - Chiropractic 2466872387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2010 S Arlington Heights Rd
Suite 215
Arlington Heights, IL 60005-4144
Phone (847) 485-0990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.013310ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Foundations Spine and Well Necessities LLC Chiropractor CurrentSince Aug 10, 2020 Accepting new patients

Locations

2010 S Arlington Heights Rd
Ste 215
Arlington Heights, IL 60005
Phone (773) 348-7003

2070 N Rand Rd
Ste Ab
Palatine, IL 60074
Phone (714) 421-1974

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1942773882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 DEEPWOOD RD",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600108611",
            "telephone_number": "714-421-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 N RAND RD STE AB",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600742595",
            "telephone_number": "714-421-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAKALIAN",
        "first_name": "VARTAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-03",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.