Organization Active NPI

Total Body Health Center SC

  • Chiropractor
  • St Charles, IL
National Provider Identifier
1508181728
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-009381 Issued in IL
Legal business name
TOTAL BODY HEALTH CENTER SC
Practice address
1121 E Main St
Suite 140
St Charles, IL 60174-2205
Phone
(630) 587-5824
Fax
(630) 587-5834
NPI assigned
Mar 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Authorized official

Name
Dr. Arun Ganapathy Mani, D.C.NPI 1487744520
Title
President/Chiropractic Physician
Phone
(630) 587-5824

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 038-009381 IL Primary

Addresses

Primary practice location

1121 E Main St
Suite 140
St Charles, IL 60174-2205

Mailing address

1121 E Main St
Suite 140
St Charles, IL 60174-2205
Phone (630) 587-5824

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101111001008 IL Part B Supplier - Clinic/Group Practice 5890980148 Receives reassigned benefits from 1 practitioner
Practice locations: St Charles, IL

National Provider Directory

National Provider Directory

Locations

1121 E Main St
Ste 140
St Charles, IL 60174
Phone (630) 587-5824

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1508181728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 E MAIN ST",
            "address_2": "SUITE 140",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742205",
            "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": "1121 E MAIN ST",
            "address_2": "SUITE 140",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742205",
            "telephone_number": "630-587-5824",
            "fax_number": "630-587-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL BODY HEALTH CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "MANI",
        "authorized_official_first_name": "ARUN",
        "authorized_official_middle_name": "GANAPATHY",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "630-587-5824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.