Active NPI
Alan E Phillips, D.C.
- Chiropractor
- Monmouth, IL
National Provider Identifier
1275649485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-004758
- Practice address
- 312 E Archer Ave
Monmouth, IL 61462-1837 - Phone
- (309) 734-7050
- Fax
- (309) 734-4585
- NPI assigned
- Aug 21, 2006
- Last updated
- Sep 10, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 038-004758 | IL | Primary |
Addresses
Primary practice location
312 E Archer Ave
Monmouth, IL 61462-1837
Mailing address
312 E Archer Ave
Monmouth, IL 61462-1837
Phone (309) 734-7050
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350020860 | Other | IL | RAILROAD MEDICARE |
| 641069 | Other | IL | OPTUM UNITEDHEALTHCARE |
| 9415004 | Other | IL | BLUE CROSS BLUE SHIELD |
| 371127312 | Other | IL | PHCS |
| 038004758 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071219000747 | IL | Practitioner - Chiropractic | 4981794575 | Practice locations: Monmouth, IL |
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
Practice addresses (Care Compare)
312 E Archer Ave
Monmouth, IL 61462-1837
Phone (309) 734-7050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-004758 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alan E. Phillips | Chiropractor | Current | Accepting new patients |
Interoperability endpoints
- bonecrsh@mcc0032.direct.chirotouch.md
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
- Monmouth, IL
- NPI 1013128768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378771200000",
"number": "1275649485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 E ARCHER AVE",
"city": "MONMOUTH",
"state": "IL",
"postal_code": "614621837",
"telephone_number": "309-734-7050",
"fax_number": "309-734-4585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 E ARCHER AVE",
"city": "MONMOUTH",
"state": "IL",
"postal_code": "614621837",
"telephone_number": "309-734-7050",
"fax_number": "309-734-4585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "ALAN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2013-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-004758",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350020860",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTUM UNITEDHEALTHCARE",
"identifier": "641069",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "9415004",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "371127312",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038004758",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monmouth, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.