Individual provider Active NPI

Daniel M. Jones, D.C.

  • Orthopedic Chiropractor
  • Bunker Hill, IL
National Provider Identifier
1366444853
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
0383446 Issued in IL
Practice address
721 S Washington
Bunker Hill, IL 62014
Phone
(618) 585-3522
Fax
(618) 585-3523
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 0383446 IL Primary

Addresses

Primary practice location

721 S Washington
Bunker Hill, IL 62014

Mailing address

406 W Sanford St
PO Box 326
Bunker Hill, IL 62014-1518
Phone (618) 585-3359

Other identifiers 16

IdentifierTypeStateIssuer
P00439500OtherILMEDICARE RAILROAD
370984743OtherILCARE MANAGER RESCOURCE
5982002OtherILBC/BS IL
038003446MedicaidIL
10643660OtherILCAQH
627807OtherILACN
187068OtherILPERSONAL CARE
59499OtherILGHP
627807OtherILUNITED HEALTH CARE
104138OtherILHEALTHLINK HMO
4400750OtherILUHC MIDWEST
56580370984743OtherILBC/BS MO.
104138OtherILHEALTHLINK PPO
350055010OtherILRR MEDICARE
7652516OtherILAETNA
309971OtherILHEALTH PARTNERS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050418000748 IL Practitioner - Chiropractic 6709824154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jones Chiropractic and Physical Therapy LTDGroup PAC ID 0244250926, 2 clinicians

Practice addresses (Care Compare)

721 S Washington St
Bunker Hill, IL 62014-1503
Phone (618) 585-3522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0383446ILMDOrthopedic Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jones Chiropractic and Physical Therapy LTD CurrentSince Jan 1, 2006 Accepting new patients
Orthopedic & Sports Medicine Clinic, P.C. PastSince Nov 10, 2011 Accepting new patients

Locations

721 S Washington St
Bunker Hill, IL 62014
Phone (618) 585-3522

719 S Washington St
Bunker Hill, IL 62014
Phone (618) 585-4761

128 N Washington St
Bunker Hill, IL 62014
Phone (618) 585-3522

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1366444853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 W SANFORD ST",
            "address_2": "PO BOX 326",
            "city": "BUNKER HILL",
            "state": "IL",
            "postal_code": "620141518",
            "telephone_number": "618-585-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 S WASHINGTON",
            "city": "BUNKER HILL",
            "state": "IL",
            "postal_code": "62014",
            "telephone_number": "618-585-3522",
            "fax_number": "618-585-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DANIEL",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "IL",
            "license": "0383446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00439500",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE MANAGER RESCOURCE",
            "identifier": "370984743",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS IL",
            "identifier": "5982002",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038003446",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10643660",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "627807",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CARE",
            "identifier": "187068",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "59499",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "627807",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK HMO",
            "identifier": "104138",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC MIDWEST",
            "identifier": "4400750",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS MO.",
            "identifier": "56580370984743",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK PPO",
            "identifier": "104138",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "350055010",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7652516",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "309971",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bunker Hill, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.