Active NPI
Robert J Dieringer, DC
- Chiropractor
- Mokena, IL
National Provider Identifier
1174603294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038009120
- Practice address
- 19806 Wolf Rd Unit 4
Mokena, IL 60448-1385 - Phone
- (708) 478-0620
- NPI assigned
- Oct 16, 2006
- 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 | 038009120 | IL | Primary |
Addresses
Primary practice location
19806 Wolf Rd Unit 4
Mokena, IL 60448-1385
Mailing address
11141 W 191St St
Mokena, IL 60448-9278
Phone (708) 478-0620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9927031 | Other | IL | BLUE CROSS BLUE SHIELD |
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
- National College of Chiropractic, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
19806 Wolf Rd
Apt 104
Mokena, IL 60448-1386
Phone (708) 478-0620
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038009120 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dieringer Chiropractic Health Clinic, LTD. | Chiropractor | Current | Accepting new patients |
| Wheelchair Sales & Service, Inc. | Past | Accepting new patients |
Locations
11141 191st St
Mokena, IL 60448
Phone (708) 478-0620
19806 Wolf Rd
Apt 104
Mokena, IL 60448
Phone (708) 478-0620
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 and National Provider Directory roles.
-
- Chiropractor
- Mokena, IL
- NPI 1679901896
-
- Durable Medical Equipment & Medical Supplies
- Mokena, IL
- NPI 1427024835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1174603294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11141 W 191ST ST",
"city": "MOKENA",
"state": "IL",
"postal_code": "604489278",
"telephone_number": "708-478-0620",
"fax_number": "708-479-8948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19806 WOLF RD UNIT 4",
"city": "MOKENA",
"state": "IL",
"postal_code": "604481385",
"telephone_number": "708-478-0620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIERINGER",
"first_name": "ROBERT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038009120",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "9927031",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mokena, IL
- Diagnostic P.E.T. Network, LLC (DPN)
- Diagnostic Services Associates, LTD.
- Dialysis Centers of America - Illinois, Inc. (Fresenius Medical Care Mokena)
- Angelica Marie Diaz, FNP-C
- Dieringer Chiropractic Health Clinic, LTD.
- Nichole Marie Dimaria, FNP
- Joseph Romero Dimatulac, PTA
- Jessica Dineen, RSA
- Emili Marie Dobronics, DDS
- Lana Dobson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.