Organization Active NPI

Dynamic Sports Fitness & Chiropractic

  • Chiropractor
  • Naperville, IL
National Provider Identifier
1952606097
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.011868 Issued in IL
Legal business name
DYNAMIC SPORTS FITNESS & CHIROPRACTIC
Practice address
2744 Forgue Dr.
C106
Naperville, IL 60564
Phone
(630) 302-0845
NPI assigned
Jan 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Authorized official

Name
Dr. Adam Nicholas Macek, D.C.NPI 1255636932
Title
Chiropractic Physician
Phone
(630) 302-0845

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038.011868 IL Primary

Addresses

Primary practice location

2744 Forgue Dr.
C106
Naperville, IL 60564

Mailing address

716 Clarendon LN
Aurora, IL 60504-3226
Phone (630) 302-0845

National Provider Directory

National Provider Directory

Locations

2744 Forgue Dr
Ste C105
Naperville, IL 60564
Phone (630) 302-0845

2744 Forgue Dr
#C106
Naperville, IL 60564
Phone (630) 302-0845

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1952606097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 CLARENDON LN",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605043226",
            "telephone_number": "630-302-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2744 FORGUE DR.",
            "address_2": "C106",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60564",
            "telephone_number": "630-302-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC SPORTS FITNESS & CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "MACEK",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "630-302-0845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.