Darren Cissell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-009977 Issued in IL

Practice address

104 N. Ridge Rd.
Suite 144
Minooka, IL 60447-9875

Phone

(815) 467-1464

Fax

(815) 521-0492

NPI assigned

May 19, 2006

Last updated

Dec 2, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ridge Chiropractic Center, LTD.

  • Chiropractor
  • Minooka, IL
  • NPI 1700098902
  Medicare reassignment NPD Authorized official
• Able Chiropractic, LLC

  • Chiropractor
  • Minooka, IL
  • NPI 1831364686
  Authorized official Same address or phone
• Minor Chiropractic Health Center PC

  • Chiropractor
  • Channahon, IL
  • NPI 1508818923
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1326091372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N. RIDGE RD.",
            "address_2": "SUITE 144",
            "city": "MINOOKA",
            "state": "IL",
            "postal_code": "604479875",
            "telephone_number": "815-467-1464",
            "fax_number": "815-521-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N. RIDGE RD.",
            "address_2": "SUITE 144",
            "city": "MINOOKA",
            "state": "IL",
            "postal_code": "604479875",
            "telephone_number": "815-467-1464",
            "fax_number": "815-521-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISSELL",
        "first_name": "DARREN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah Paul Burlison
• Rebecca Burr, MSW
• Alicia Cameron
• Donna Marie Cassella-Johnson, LCPC
• Jennifer Marie Ceko
• Maggie Clarey
• Jeffrey Clark, HEARING SPECIALIST
• Zachary Clark
• Cody Corradino, LPC
• Daryl L Condon,OD,PC

• Chiropractor in Minooka, IL
• Providers in Minooka, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.