Individual provider Active NPI

Jacob William Stegmaier, D.C.

  • Chiropractor
  • Dixon, IL
National Provider Identifier
1124271655
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012199 Issued in IL
Practice address
841 N Galena Ave
Suite 200
Dixon, IL 61021-1568
Phone
(815) 285-2273
Fax
(815) 285-2276
NPI assigned
Oct 28, 2008
Last updated
Aug 8, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012199 IL Primary

Addresses

Primary practice location

841 N Galena Ave
Suite 200
Dixon, IL 61021-1568

Mailing address

841 N Galena Ave
Suite 200
Dixon, IL 61021-1568
Phone (815) 285-2273

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130612000057 IL Practitioner - Chiropractic 3072675644 Reassigns benefits to 1 organization
Practice locations: Woodstock, IL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

800 E S St
Woodstock, IL 60098-4247
Phone (815) 337-7109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DMS Healthcare LLC Chiropractor CurrentSince Nov 7, 2023 Accepting new patients
Michael L Masucci DC LLC Chiropractor Past Accepting new patients
Better Living Institute PastSince Nov 20, 2023 Accepting new patients

Locations

800 E South St
Woodstock, IL 60098
Phone (815) 337-7109

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1124271655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 N GALENA AVE",
            "address_2": "SUITE 200",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610211568",
            "telephone_number": "815-285-2273",
            "fax_number": "815-285-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 N GALENA AVE",
            "address_2": "SUITE 200",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610211568",
            "telephone_number": "815-285-2273",
            "fax_number": "815-285-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEGMAIER",
        "first_name": "JACOB",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dixon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.