Individual provider Active NPI

Mary C Gensler, D.C.

  • Chiropractor
  • St Charles, IL
National Provider Identifier
1013457613
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013078 Issued in IL
Practice address
525 Tyler Rd Ste S
St Charles, IL 60174-3363
Phone
(331) 901-5672
NPI assigned
Mar 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 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 038.013078 IL Primary

Addresses

Primary practice location

525 Tyler Rd Ste S
St Charles, IL 60174-3363

Mailing address

525 Tyler Rd Ste S
St Charles, IL 60174-3363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
038.013078ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Healing Collective S.C. Chiropractor CurrentSince May 24, 2020 Accepting new patients
Natural Touch Inc Past Accepting new patients

Locations

525 Tyler Rd
Ste S
St Charles, IL 60174
Phone (331) 901-5672

113 N 2nd Ave
St Charles, IL 60174
Phone (630) 254-9027

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": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1013457613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 TYLER RD STE S",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601743363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 TYLER RD STE S",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601743363",
            "telephone_number": "331-901-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENSLER",
        "first_name": "MARY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.