Active NPI
Esther Olayinka Adetola, D.C.
- Chiropractor
- Peoria, IL
National Provider Identifier
1083653448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209275 | Other | IL | MEDICARE GROUP |
| 38948600 | Medicaid | WI | |
| P00352328 | Other | IL | RAILROAD MEDICARE |
| CK6783 | Other | RAILROAD MEDICARE GROUP |
Other names 1
- Esther O Oriola
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 038-010788 | IL | MD | Chiropractor |
| 3972-012 | WI | MD | Chiropractor |
| 3972 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Hills Chiropractic Series LLC | Chiropractor | Current | 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.
-
- Chiropractor
- North Richland Hills, TX
- NPI 1831215193
-
- Chiropractor
- Champaign, IL
- NPI 1588997027
-
- Chiropractor
- Wausau, WI
- NPI 1003862087
-
- Chiropractor
- Wausau, WI
- NPI 1487605051
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.