Individual provider Active NPI

Dylan C Witthoft, DC

  • Chiropractor
  • Murphysboro, IL
National Provider Identifier
1265914337
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038014318 Issued in IL
Practice address
2001 Walnut St
Murphysboro, IL 62966-1911
Phone
(618) 615-5847
NPI assigned
Sep 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038014318 IL Primary

Addresses

Primary practice location

2001 Walnut St
Murphysboro, IL 62966-1911

Mailing address

2001 Walnut St
Murphysboro, IL 62966-1911
Phone (618) 615-5847

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260113001384 IL Practitioner - Chiropractic 8729339825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2001 Walnut St
Murphysboro, IL 62966-1911
Phone (618) 615-5847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038014318ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Chiropractic PLLC Chiropractor CurrentSince Nov 3, 2025 Accepting new patients

Locations

2001 Walnut St
Murphysboro, IL 62966
Phone (618) 615-5847

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.

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1265914337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 WALNUT ST",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629661911",
            "telephone_number": "618-615-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 WALNUT ST",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629661911",
            "telephone_number": "618-615-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTHOFT",
        "first_name": "DYLAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-05",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038014318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphysboro, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.