Individual provider Active NPI

Quentin Thomas Stenzel, D.C.

  • Chiropractor
  • Red Bud, IL
National Provider Identifier
1508980798
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
204 W. Market
Red Bud, IL 62278
Phone
(618) 282-3636
Fax
(618) 282-3635
NPI assigned
Mar 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X IL Primary

Addresses

Primary practice location

204 W. Market
Red Bud, IL 62278

Mailing address

204 W. Market
PO Box 167
Red Bud, IL 62278
Phone (618) 282-3636

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610001270 IL Practitioner - Chiropractic 2062495096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

204 W Market St
Red Bud, IL 62278-1029
Phone (618) 282-3636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-010114ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stenzel Chiropractic, LLC Chiropractor CurrentSince Apr 30, 2003 Accepting new patients
Stenzel Chiropractic Chiropractor PastSince Sep 28, 2007 Accepting new patients

Locations

204 W Market St
Red Bud, IL 62278
Phone (618) 282-3636

Organizations & group practices 2

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508980798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W. MARKET",
            "address_2": "PO BOX 167",
            "city": "RED BUD",
            "state": "IL",
            "postal_code": "62278",
            "telephone_number": "618-282-3636",
            "fax_number": "618-282-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W. MARKET",
            "city": "RED BUD",
            "state": "IL",
            "postal_code": "62278",
            "telephone_number": "618-282-3636",
            "fax_number": "618-282-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENZEL",
        "first_name": "QUENTIN",
        "middle_name": "THOMAS",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bud, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.