Darding Chiropractic, P.C.
Organization Active NPI Chiropractor · Waterloo, IL
NPI 1316950827 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1316950827
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 38010111 (IL)
- Legal business name
- DARDING CHIROPRACTIC, P.C.
- Practice address
- 1327 Jamie LN
Waterloo, IL 62298-5569 - Phone
- (618) 939-9969
- Fax
- (618) 939-9978
- NPI assigned
- Aug 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Rebecca L. Darding, D.C.
- Title
- President
- Phone
- (618) 939-9969
Practitioners 2
-
Rebecca L. Darding, D.C.
-
Emily Michele Kruse, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040723001221 | IL | Part B Supplier - Clinic/Group Practice | 7012997505 |
Receives reassigned benefits from 2 practitioners Practice locations: Waterloo, IL |
National Provider Directory
Locations
1327 Jamie Ln
Waterloo, IL 62298
Phone (618) 939-9969
Interoperability endpoints
- darding@dcp0005.direct.chirotouch.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 38010111 | IL | Yes |
Addresses
Primary practice location
1327 Jamie LN
Waterloo, IL 62298-5569
Mailing address
1327 Jamie LN
Waterloo, IL 62298-5569
Phone (618) 939-9969
Other providers in Waterloo, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.