Active NPI
Nathan John Meckel, DC
- Chiropractor
- Shiloh, IL
National Provider Identifier
1013756659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038014110
- Practice address
- 3264 Green Mount Crossing Dr
Shiloh, IL 62269-7284 - Phone
- (618) 408-0909
- NPI assigned
- May 22, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2024006882 | MO | |
| Chiropractor | 111N00000X | 038014110 | IL | Primary |
Addresses
Primary practice location
3264 Green Mount Crossing Dr
Shiloh, IL 62269-7284
Mailing address
140 Garrettford Dr
Bethalto, IL 62010-2586
Phone (618) 717-0407
Other practice location 1
5811 Chippewa St
Saint Louis, MO 63109-1404
Phone (314) 666-8452
Other practice location 2
8853 LaDue Rd
Saint Louis, MO 63124-2309
Phone (314) 328-7960
Other practice location 3
10759 Sunset Hills Plz
Saint Louis, MO 63127-1207
Phone (314) 328-7403
Other practice location 4
3014 S State Route 159
Glen Carbon, IL 62034-3109
Phone (618) 205-6426
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
| License | State | Type | Specialty |
|---|---|---|---|
| 038014110 | IL | MD | Chiropractor |
| 2024006882 | MO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1013756659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 GARRETTFORD DR",
"city": "BETHALTO",
"state": "IL",
"postal_code": "620102586",
"telephone_number": "618-717-0407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3264 GREEN MOUNT CROSSING DR",
"city": "SHILOH",
"state": "IL",
"postal_code": "622697284",
"telephone_number": "618-408-0909"
}
],
"practiceLocations": [
{
"address_1": "5811 Chippewa St",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631091404",
"country_code": "US",
"telephone_number": "314-666-8452",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8853 LaDue Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631242309",
"country_code": "US",
"telephone_number": "314-328-7960",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10759 Sunset Hills Plz",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631271207",
"country_code": "US",
"telephone_number": "314-328-7403",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3014 S State Route 159",
"address_purpose": "LOCATION",
"city": "Glen Carbon",
"state": "IL",
"postal_code": "620343109",
"country_code": "US",
"telephone_number": "618-205-6426",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MECKEL",
"first_name": "NATHAN",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-22",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2024006882",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038014110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shiloh, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.