Individual provider Active NPI

Alan E Phillips, D.C.

  • Chiropractor
  • Monmouth, IL
National Provider Identifier
1275649485
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-004758 Issued in IL
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
350020860OtherILRAILROAD MEDICARE
641069OtherILOPTUM UNITEDHEALTHCARE
9415004OtherILBLUE CROSS BLUE SHIELD
371127312OtherILPHCS
038004758MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
038-004758ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Alan E. Phillips Chiropractor CurrentSince Jan 1, 1990 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.