Individual provider Active NPI

Daniel Monaghan, D.C.

  • Chiropractor
  • Dekalb, IL
National Provider Identifier
1417007121
Registry record updated Jul 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038008156 Issued in IL
Practice address
3301 Resource Pkwy Ste 3
Dekalb, IL 60115-5334
Phone
(815) 758-9999
Fax
(815) 758-8220
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038008156 IL Primary

Addresses

Primary practice location

3301 Resource Pkwy Ste 3
Dekalb, IL 60115-5334

Mailing address

3301 Resource Pkwy Ste 3
Dekalb, IL 60115-5334
Phone (815) 758-9999

Other identifiers 1

IdentifierTypeStateIssuer
0038008156MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180104000195 NM Practitioner - Chiropractic 1658437835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Maria P.C. Dba Caremore Chiropractic CentersGroup PAC ID 9638164148, 5 clinicians

Practice addresses (Care Compare)

2622 San Mateo Blvd NE
Albuquerque, NM 87110-3130
Phone (505) 888-0331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2156NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Maria P.C. Dba Caremore Chiropractic Centers Chiropractor CurrentSince Dec 1, 2017 Accepting new patients

Locations

2622 San Mateo Blvd NE
Albuquerque, NM 87110
Phone (505) 884-8887

Organizations & group practices 1

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404432000000",
    "number": "1417007121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 RESOURCE PKWY STE 3",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601155334",
            "telephone_number": "815-758-9999",
            "fax_number": "815-758-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 RESOURCE PKWY STE 3",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601155334",
            "telephone_number": "815-758-9999",
            "fax_number": "815-758-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONAGHAN",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2014-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0038008156",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2014; 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.