Individual provider Active NPI

Esther Olayinka Adetola, D.C.

  • Chiropractor
  • Peoria, IL
National Provider Identifier
1083653448
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
2230 W Townline Rd
Peoria, IL 61615-1545
Phone
(309) 691-6750
Fax
(309) 691-6740
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3972-012 WI
Chiropractor 111N00000X IL Primary

Addresses

Primary practice location

2230 W Townline Rd
Peoria, IL 61615-1545

Mailing address

601 S 32ND Ave
Wausau, WI 54401-3958
Phone (715) 848-2526

Other identifiers 4

IdentifierTypeStateIssuer
209275OtherILMEDICARE GROUP
38948600MedicaidWI
P00352328OtherILRAILROAD MEDICARE
CK6783OtherRAILROAD MEDICARE GROUP

Other names 1

  • Esther O Oriola Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121009000786 TX Practitioner - Chiropractic 2668361536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5424 Rufe Snow Dr
Suite 101
North Richland Hills, TX 76180-6690
Phone (817) 656-4330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-010788ILMDChiropractor
3972-012WIMDChiropractor
3972WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
North Hills Chiropractic Series LLC Chiropractor CurrentSince Jun 14, 2013 Accepting new patients
Allied Health of Wisconsin, SC Chiropractor Past Accepting new patients
Allied Health Chiropractic Centers of Il, LLC Chiropractor Past Accepting new patients
Melby Chiropractic PC Chiropractor Past Accepting new patients

Locations

5424 Rufe Snow Dr
North Richlnd Hls, TX 76180
Phone (817) 576-2447

5424 Rufe Snow Dr
Ste 101
North Richlnd Hls, TX 76180
Phone (817) 656-4330

Organizations & group practices 4

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1083653448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S 32ND AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013958",
            "telephone_number": "715-848-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 W TOWNLINE RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151545",
            "telephone_number": "309-691-6750",
            "fax_number": "309-691-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADETOLA",
        "first_name": "ESTHER",
        "middle_name": "OLAYINKA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3972-012",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "209275",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38948600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00352328",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CK6783",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ESTHER",
            "last_name": "ORIOLA",
            "middle_name": "O",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.