Active NPI
Daniel John Vanklingeren
- Chiropractor
- Champaign, IL
National Provider Identifier
1124650726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-013522
- Practice address
- 1103 W Windsor Rd
Champaign, IL 61821-6999 - Phone
- (217) 954-0124
- Fax
- (217) 954-0135
- NPI assigned
- Feb 11, 2020
- Sex
- Male
- 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 | 038-013522 | IL | Primary |
Addresses
Primary practice location
1103 W Windsor Rd
Champaign, IL 61821-6999
Mailing address
414 W Jefferson Ave
Effingham, IL 62401-2336
Phone (217) 342-7222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-013522 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Certified Rehab of Georgia | Past | 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.
-
- Specialist
- Lagrange, GA
- NPI 1598840282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581379200000",
"number": "1124650726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 W JEFFERSON AVE",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624012336",
"telephone_number": "217-342-7222",
"fax_number": "217-342-7214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 W WINDSOR RD",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618216999",
"telephone_number": "217-954-0124",
"fax_number": "217-954-0135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANKLINGEREN",
"first_name": "DANIEL",
"middle_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-11",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-013522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.