Individual provider Active NPI

Dennis J Gerleman, DC

  • Chiropractor
  • Kewanee, IL
National Provider Identifier
1174583678
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
320 Tenney St
Kewanee, IL 61443
Phone
(309) 852-6555
Fax
(309) 852-6554
NPI assigned
Mar 27, 2006
Last updated
Mar 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X IL Primary

Addresses

Primary practice location

320 Tenney St
Kewanee, IL 61443

Mailing address

320 Tenney St
Kewanee, IL 61443
Phone (309) 852-6555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080327000075 IL Practitioner - Chiropractic 3971689266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles C Gerleman D C P CGroup PAC ID 1153407440, 6 clinicians

Practice addresses (Care Compare)

320 Tenney St
Kewanee, IL 61443-3452
Phone (309) 852-6555

504 1St St W
Milan, IL 61264-2716
Phone (309) 787-4944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Charles C Gerleman D C P C Chiropractor CurrentSince Aug 2, 2024 Accepting new patients

Locations

504 1st St W
Milan, IL 61264
Phone (309) 787-4944

Organizations & group practices 2

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1174583678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 TENNEY ST",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "61443",
            "telephone_number": "309-852-6555",
            "fax_number": "309-852-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 TENNEY ST",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "61443",
            "telephone_number": "309-852-6555",
            "fax_number": "309-852-6554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERLEMAN",
        "first_name": "DENNIS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kewanee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.