Active NPI
Julie Anne Miesmer, D.C.
- Chiropractor
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038009296
- Practice address
- 300 W Adams St
515
Chicago, IL 60606-5101 - Phone
- (312) 223-0692
- Fax
- (312) 223-0695
- NPI assigned
- Apr 10, 2006
- Last updated
- Jun 13, 2011
- 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 | 038009296 | IL | Primary |
Addresses
Primary practice location
300 W Adams St
515
Chicago, IL 60606-5101
Mailing address
300 W Adams St
515
Chicago, IL 60606-5101
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01634591 | Other | BLUECROSS BLUESHIELD | |
| 629115 | Other | ACN PROVIDER | |
| 11181151 | Other | CAQH NUMBER | |
| 2139354 | Other | FIRST HEALTH NUMBER | |
| 46441 | Other | HFN NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 2000
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
300 W Adams St
Chicago, IL 60606-5108
300 W Adams St
Suite 326
Chicago, IL 60606-5107
Phone (312) 223-0692
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038009296 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Center Chiropractic and Rehabilitation LLC | Chiropractor | Current | Accepting new patients |
Locations
300 W Adams St
Chicago, IL 60606
Phone (312) 223-0692
300 W Adams St
Ste 326
Chicago, IL 60606
Phone (312) 223-0692
300 W Adams St
Ste 515
Chicago, IL 60606
Phone (312) 223-0692
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Chicago, IL
- NPI 1639401144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307923200000",
"number": "1134182272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W ADAMS ST",
"address_2": "515",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606065101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W ADAMS ST",
"address_2": "515",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606065101",
"telephone_number": "312-223-0692",
"fax_number": "312-223-0695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIESMER",
"first_name": "JULIE",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2011-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038009296",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "01634591",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN PROVIDER",
"identifier": "629115",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH NUMBER",
"identifier": "11181151",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH NUMBER",
"identifier": "2139354",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HFN NUMBER",
"identifier": "46441",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.