Individual provider Active NPI

Daniel M. Rovin, D.C.

  • Chiropractor
  • Swansea, IL
National Provider Identifier
1285742973
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
4 Executive Woods CT
Swansea, IL 62226-2016
Phone
(618) 239-6300
Fax
(618) 239-6444
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

4 Executive Woods CT
Swansea, IL 62226-2016

Mailing address

4 Executive Woods CT
Swansea, IL 62226-2016
Phone (618) 239-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100929001547 IL Practitioner - Chiropractic 5698891307 Practice locations: Swansea, IL
I20140329000101 MO Practitioner - Chiropractic 5698891307 Practice locations: Saint Louis, MO

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10073 Manchester Rd
Suite 100
Saint Louis, MO 63122-1800
Phone (314) 647-8080

4 Executive Woods Court
Swansea, IL 62226-2016

4 Executive Woods CT
Swansea, IL 62226-2016
Phone (618) 239-6300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-008500ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Anam Healing Arts, LLC Past Accepting new patients
Ashley a Gaines DC, LLC Chiropractor Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285742973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 EXECUTIVE WOODS CT",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262016",
            "telephone_number": "618-239-6300",
            "fax_number": "618-239-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 EXECUTIVE WOODS CT",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262016",
            "telephone_number": "618-239-6300",
            "fax_number": "618-239-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROVIN",
        "first_name": "DANIEL",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.