Organization Active NPI

Kurt L Ehling DC LLC

  • Chiropractor
  • Morton, IL
National Provider Identifier
1578057279
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-004083 Issued in IL
Legal business name
KURT L EHLING DC LLC
Doing business as
Dimensional Health
Practice address
112 E Queenwood Rd
Morton, IL 61550-2971
Phone
(309) 263-1116
NPI assigned
Jun 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Authorized official

Name
Dr. Kurt Ehling, DCNPI 1235204892
Title
Owner
Phone
(309) 263-1116

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038-004083 IL Primary

Addresses

Primary practice location

112 E Queenwood Rd
Morton, IL 61550-2971

Mailing address

112 E Queenwood Rd
Morton, IL 61550-2971
Phone (309) 263-1116

Other identifiers 2

IdentifierTypeStateIssuer
1215397658OtherILNPI
1235204892OtherILNPI

Other names 1

  • Dimensional Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190212001046 IL Part B Supplier - Clinic/Group Practice 3375881659 Receives reassigned benefits from 1 practitioner
Practice locations: Morton, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2040772Kurt L Ehling DC112 E Queenwood Rd, Morton, IL 61550Certificate of waiverMay 8, 2028

National Provider Directory

National Provider Directory

Locations

112 E Queenwood Rd
Morton, IL 61550
Phone (309) 263-1116

Practitioners & affiliated clinicians

Practitioners 1

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": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1578057279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E QUEENWOOD RD",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615502971",
            "telephone_number": "309-263-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E QUEENWOOD RD",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615502971",
            "telephone_number": "309-263-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURT L EHLING DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "EHLING",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-263-1116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-004083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1215397658",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1235204892",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dimensional Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.