NPIMap

Organization Active NPI

Dr Richard Moncebaiz DCPC

Doing business as Moncebaiz Chiropractic Centre

  • Corporate Health Clinic/Center
  • Cicero, IL
National Provider Identifier
1396963500
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corporate Health Clinic/CenterTaxonomy code 261QC1800X
License
060004777 Issued in IL
Legal business name
DR RICHARD MONCEBAIZ DCPC
Doing business as
Moncebaiz Chiropractic Centre
Practice address
5623 W Cermak Rd
Cicero, IL 60804-2220
Phone
(708) 863-1001
Fax
(708) 863-2641
NPI assigned
Apr 23, 2007
Last updated
Dec 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Authorized official

Name
Dr. Richard Moncebaiz, D.C.NPI 1396841011
Title
President
Phone
(708) 863-1001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corporate Health Clinic/Center 261QC1800X 060004777 IL Primary

Addresses

Primary practice location

5623 W Cermak Rd
Cicero, IL 60804-2220

Mailing address

5623 W Cermak Rd
Cicero, IL 60804-2220
Phone (708) 863-1001

Other identifiers 1

IdentifierTypeStateIssuer
01682747-34OtherILBCBS

Other names 1

  • Moncebaiz Chiropractic Centre Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1396963500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5623 W CERMAK RD",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042220",
            "telephone_number": "708-863-1001",
            "fax_number": "708-863-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5623 W CERMAK RD",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042220",
            "telephone_number": "708-863-1001",
            "fax_number": "708-863-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RICHARD MONCEBAIZ DCPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "MONCEBAIZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-863-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "IL",
            "license": "060004777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01682747-34",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moncebaiz Chiropractic Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cicero, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.