Organization Active NPI

Geneva Acupuncture LLC

  • Chiropractor
  • Geneva, IL
National Provider Identifier
1508149808
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012018 Issued in IL
Legal business name
GENEVA ACUPUNCTURE LLC
Practice address
501 W State St
204
Geneva, IL 60134-2149
Phone
(331) 248-0657
NPI assigned
Sep 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Authorized official

Name
Dr. Eric Jonathan Spicher, D.C.NPI 1306128855
Title
Member
Phone
(773) 266-9808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 038012018 IL Primary

Addresses

Primary practice location

501 W State St
204
Geneva, IL 60134-2149

Mailing address

501 W State St
204
Geneva, IL 60134-2149
Phone (331) 248-0657

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120508000077 IL Part B Supplier - Clinic/Group Practice 5193987287 Receives reassigned benefits from 1 practitioner
Practice locations: Geneva, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1508149808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W STATE ST",
            "address_2": "204",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342149",
            "telephone_number": "331-248-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W STATE ST",
            "address_2": "204",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342149",
            "telephone_number": "331-248-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENEVA ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "SPICHER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "773-266-9808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012018",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 2, 2016; 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.