NPIMap

Organization Active NPI

Dr Robert L Meinders DC LTD

  • Chiropractor
  • Belleville, IL
National Provider Identifier
1497931505
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038003655 Issued in IL
Legal business name
DR ROBERT L MEINDERS DC LTD
Practice address
5206 W Main St
Belleville, IL 62226-4731
Phone
(618) 234-5200
Fax
(618) 234-4400
NPI assigned
Jan 18, 2008
Last updated
May 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Dr. Robert Meinders, DCNPI 1982683082
Title
Owner
Phone
(618) 234-5200

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
Chiropractor 111N00000X 038003655 IL Primary

Addresses

Primary practice location

5206 W Main St
Belleville, IL 62226-4731

Mailing address

5206 W Main St
Belleville, IL 62226-4731
Phone (618) 234-5200

Other identifiers 6

IdentifierTypeStateIssuer
08282011OtherILBLUE CROSS BLUE SHIELD
628035OtherILAMERICAN CHIROPRACTIC NETWORK
791350646OtherILMEDICARE RAILROAD
8769885OtherILCIGNA
179566OtherILHEALTHLINK PPO AND HMO
038003655MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080404000246 IL Part B Supplier - Clinic/Group Practice 5092892851 Receives reassigned benefits from 1 practitioner
Practice locations: Belleville, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1497931505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5206 W MAIN ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622264731",
            "telephone_number": "618-234-5200",
            "fax_number": "618-234-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5206 W MAIN ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622264731",
            "telephone_number": "618-234-5200",
            "fax_number": "618-234-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ROBERT L MEINDERS DC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "MEINDERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-234-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038003655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08282011",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN CHIROPRACTIC NETWORK",
            "identifier": "628035",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "791350646",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8769885",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK PPO AND HMO",
            "identifier": "179566",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038003655",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.