Active NPI
Donald L Mertes, DC
- Chiropractor
- Lombard, IL
National Provider Identifier
1386718559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038009169
- Practice address
- 2811 S Fairfield Ave
Suite E
Lombard, IL 60148-1359 - Phone
- (630) 537-7246
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038009169 | IL | Primary |
Addresses
Primary practice location
2811 S Fairfield Ave
Suite E
Lombard, IL 60148-1359
Mailing address
1350 S Lorraine Rd
Apt a
Wheaton, IL 60189-7076
Phone (630) 440-3392
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038009169 | Other | IL | LICENSE NUMBER |
| 02215218 | Other | IL | BCBS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038009169 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Chiropractic Centre, LTD | Chiropractor | Past | Accepting new patients |
| Dupage Healthcare LTD | Chiropractor | Past | Accepting new patients |
| Health Essentials, S. C. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Chiropractor
- Lombard, IL
- NPI 1508284373
-
- Chiropractor
- Glen Ellyn, IL
- NPI 1265448088
-
- Physical Medicine & Rehabilitation Physician
- Glen Ellyn, IL
- NPI 1235476227
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396310400000",
"number": "1386718559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 S LORRAINE RD",
"address_2": "APT A",
"city": "WHEATON",
"state": "IL",
"postal_code": "601897076",
"telephone_number": "630-440-3392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 S FAIRFIELD AVE",
"address_2": "SUITE E",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601481359",
"telephone_number": "630-537-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERTES",
"first_name": "DONALD",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2014-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038009169",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "038009169",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "02215218",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.