David Russell Warner, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-009227 Issued in IL

Practice address

1125 N Galena Ave
Dixon, IL 61021-1015

Phone

(815) 284-9355

Fax

(815) 284-9355

NPI assigned

Aug 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Warner Family Chiropractic PC

  • Chiropractor
  • Dixon, IL
  • NPI 1386766772
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1073515516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 N GALENA AVE",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610211015",
            "telephone_number": "815-284-9355",
            "fax_number": "815-284-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 N GALENA AVE",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610211015",
            "telephone_number": "815-284-9355",
            "fax_number": "815-284-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "DAVID",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "05232001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Walls, RN QMHP
• Walmart Inc.
• Tyler Walsh, M.D.
• Gayana Wanniarachchi
• Warner Family Chiropractic PC
• Audra Danielle Washo, APN
• Muhammad Ameen Wasim, M.D.
• Burnell C Wehmeyer, MS
• Joseph M Welty, M.D.
• Mary Alice Wentling, LCPC

• Chiropractor in Dixon, IL
• Providers in Dixon, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.