Individual provider Active NPI

Brett Lee Rappenecker, DC

  • Chiropractor
  • Lake in the Hills, IL
National Provider Identifier
1295080406
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.012190 Issued in IL
Practice address
43 W Acorn LN
Lake in the Hills, IL 60156-4804
Phone
(847) 658-8541
Fax
(847) 658-7395
NPI assigned
Jul 14, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.012190 IL Primary

Addresses

Primary practice location

43 W Acorn LN
Lake in the Hills, IL 60156-4804

Mailing address

43 W Acorn LN
Lake in the Hills, IL 60156-4804
Phone (847) 658-8541

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130619000171 IL Practitioner - Chiropractic 8921247180 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Chiropractic, SCGroup PAC ID 1153335005, 3 clinicians

Practice addresses (Care Compare)

43 W Acorn LN
Lake in the Hills, IL 60156-4804
Phone (847) 658-8541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.012190ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Carol Stream Service Corporation Chiropractor CurrentSince Apr 9, 2022 Accepting new patients
Horizon Chiropractic, SC Chiropractor CurrentSince Jan 13, 2024 Accepting new patients

Locations

260 E Army Trail Rd
Ste D
Bartlett, IL 60103
Phone (630) 830-8600

43 W Acorn Ln
Lk in the Hls, IL 60156
Phone (847) 658-8541

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": "1342224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1295080406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 W ACORN LN",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601564804",
            "telephone_number": "847-658-8541",
            "fax_number": "847-658-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 W ACORN LN",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601564804",
            "telephone_number": "847-658-8541",
            "fax_number": "847-658-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPPENECKER",
        "first_name": "BRETT",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-14",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake in the Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.