Active NPI
Robert Mark Adler, D.C.
- Chiropractor
- Princeton, IL
National Provider Identifier
1043376080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-009905
- Practice address
- 17 E Peru St
Princeton, IL 61356-2031 - Phone
- (815) 872-1800
- NPI assigned
- Dec 27, 2006
- Last updated
- Aug 1, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-009905 | IL | Primary |
Addresses
Primary practice location
17 E Peru St
Princeton, IL 61356-2031
Mailing address
16537 1200 North Ave
Wyanet, IL 61379-9516
Phone (818) 646-1555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040216000555 | IL | Practitioner - Chiropractic | 7618862178 | Practice locations: Princeton, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
17 E Peru St
Princeton, IL 61356-2031
Phone (815) 872-1800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-009905 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406851200000",
"number": "1043376080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16537 1200 NORTH AVE",
"city": "WYANET",
"state": "IL",
"postal_code": "613799516",
"telephone_number": "818-646-1555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 E PERU ST",
"city": "PRINCETON",
"state": "IL",
"postal_code": "613562031",
"telephone_number": "815-872-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADLER",
"first_name": "ROBERT",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2014-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-009905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princeton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.