Active NPI
Dianna Welty, D.C.
- Chiropractor
- Clay City, IL
National Provider Identifier
1114035904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 125 E. Adams St.
Clay City, IL 62824 - Phone
- (618) 676-1532
- Fax
- (618) 676-1404
- NPI assigned
- Aug 29, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Primary |
Addresses
Primary practice location
125 E. Adams St.
Clay City, IL 62824
Mailing address
P.O. Box 270345
West Allis, WI 53227-0345
Phone (414) 529-4180
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-332004 | Other | IL | BCBS |
| P00267817 | Other | IL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
125 E Adams St SE
Clay City, IL 62824-4226
Phone (618) 676-1532
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Welty Chiropractic, S.C. | Chiropractor | Current | Accepting new patients |
Organizations & group practices 1
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
- Clay City, IL
- NPI 1548486665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114035904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 270345",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532270345",
"telephone_number": "414-529-4180",
"fax_number": "414-858-9082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 E. ADAMS ST.",
"city": "CLAY CITY",
"state": "IL",
"postal_code": "62824",
"telephone_number": "618-676-1532",
"fax_number": "618-676-1404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELTY",
"first_name": "DIANNA",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1-332004",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00267817",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clay City, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.