Individual provider Active NPI

Arun G Mani, DC

  • Chiropractor
  • Geneva, IL
National Provider Identifier
1487744520
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-009381 Issued in IL
Practice address
1250 Executive PL
Ste 402
Geneva, IL 60134-3807
Phone
(630) 208-8244
Fax
(630) 845-9522
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-009381 IL Primary

Addresses

Primary practice location

1250 Executive PL
Ste 402
Geneva, IL 60134-3807

Mailing address

453 Dunham Rd
Ste 200
St Charles, IL 60174-1451
Phone (630) 587-5824

Other identifiers 1

IdentifierTypeStateIssuer
038009381MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040226000958 IL Practitioner - Chiropractic 2365338183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

453 Dunham Rd
Suite 200
St Charles, IL 60174-1451
Phone (630) 587-5824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-009381ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Total Body Health Center SC Chiropractor CurrentSince Apr 12, 2010 Accepting new patients
Comprehensive Family Health Center, SC Chiropractor Past Accepting new patients
Comprehensive Family Health Center, SC Chiropractor Past Accepting new patients
Allied Health Chiropractic Centers of Il, LLC Chiropractor Past Accepting new patients

Locations

453 Dunham Rd
Ste 200
St Charles, IL 60174
Phone (314) 315-1479

Organizations & group practices 4

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1487744520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 DUNHAM RD",
            "address_2": "STE 200",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741451",
            "telephone_number": "630-587-5824",
            "fax_number": "630-587-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 EXECUTIVE PL",
            "address_2": "STE 402",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601343807",
            "telephone_number": "630-208-8244",
            "fax_number": "630-845-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANI",
        "first_name": "ARUN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038009381",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.