Organization Active NPI

Maplebrook Chiropractic LLC

  • Chiropractor
  • Naperville, IL
National Provider Identifier
1972883965
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.011930 Issued in IL
Legal business name
MAPLEBROOK CHIROPRACTIC LLC
Practice address
365 E Bailey Rd
Naperville, IL 60565-1415
Phone
(630) 536-8002
Fax
(630) 364-2133
NPI assigned
Aug 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Authorized official

Name
Dr. Nadia Rachael Carpanzano, D.C.NPI 1912204330
Title
Chiropractor/Owner
Phone
(630) 536-8002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038.011930 IL Primary

Addresses

Primary practice location

365 E Bailey Rd
Naperville, IL 60565-1415

Mailing address

365 E Bailey Rd
Naperville, IL 60565-1415
Phone (630) 536-8002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111222000538 IL Part B Supplier - Clinic/Group Practice 7719153782 Receives reassigned benefits from 1 practitioner
Practice locations: Naperville, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1972883965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 E BAILEY RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605651415",
            "telephone_number": "630-536-8002",
            "fax_number": "630-364-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 E BAILEY RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605651415",
            "telephone_number": "630-536-8002",
            "fax_number": "630-364-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLEBROOK CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "CARPANZANO",
        "authorized_official_first_name": "NADIA",
        "authorized_official_middle_name": "RACHAEL",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "630-536-8002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011930",
            "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 Mar 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.