Individual provider Active NPI

Michael Vito Spadafino, D.C.

  • Chiropractor
  • Lombard, IL
National Provider Identifier
1952741951
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.012425 Issued in IL
Practice address
1127 S Main St
Lombard, IL 60148-3948
Phone
(630) 629-9500
NPI assigned
Jul 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.012425 IL Primary

Addresses

Primary practice location

1127 S Main St
Lombard, IL 60148-3948

Mailing address

1127 S Main St
Lombard, IL 60148-3948
Phone (630) 629-9500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141223002052 IL Practitioner - Chiropractic 5597088575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lombard Chiropractic, IncGroup PAC ID 0840222188, 4 clinicians

Practice addresses (Care Compare)

1127 S Main St
Lombard, IL 60148-3948
Phone (630) 629-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.012425ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lombard Chiropractic, Inc Chiropractor CurrentSince Jan 2, 2019 Accepting new patients
West Suburban Wellness PastSince Jan 2, 2019 Accepting new patients

Locations

1127 S Main St
Lombard, IL 60148
Phone (630) 629-9500

Organizations & group practices 2

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": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1952741951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 S MAIN ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601483948",
            "telephone_number": "630-629-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 S MAIN ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601483948",
            "telephone_number": "630-629-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPADAFINO",
        "first_name": "MICHAEL",
        "middle_name": "VITO",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-05",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.