Individual provider Active NPI

Jordan Oswald, D.C.

  • Chiropractor
  • South Elgin, IL
National Provider Identifier
1992148019
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012387 Issued in IL
Practice address
101 S McLean Blvd Ste a
South Elgin, IL 60177-1830
Phone
(847) 717-3400
Fax
(847) 255-7945
NPI assigned
Apr 8, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012387 IL Primary

Addresses

Primary practice location

101 S McLean Blvd Ste a
South Elgin, IL 60177-1830

Mailing address

101 S McLean Blvd Ste a
South Elgin, IL 60177-1830
Phone (847) 717-3400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130522000393 IL Practitioner - Chiropractic 6204074792 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1810 E Northwest Hwy
Arlington Heights, IL 60004-6944
Phone (847) 590-1133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038012387ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetime Health & Wellness Center SC Chiropractor CurrentSince Apr 9, 2013 Accepting new patients
Moore Health SC Chiropractor Past Accepting new patients

Locations

1810 E Northwest Hwy
Arlington Heights, IL 60004
Phone (847) 590-1133

101 S McLean Blvd
Ste A
South Elgin, IL 60177
Phone (847) 717-3400

101 S McLean Blvd
South Elgin, IL 60177
Phone (630) 639-1592

Organizations & group practices 3

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": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1992148019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S MCLEAN BLVD STE A",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771830",
            "telephone_number": "847-717-3400",
            "fax_number": "847-255-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S MCLEAN BLVD STE A",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771830",
            "telephone_number": "847-717-3400",
            "fax_number": "847-255-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSWALD",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-08",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.