Organization Active NPI

Beltline Chiropractic LTD

  • Chiropractor
  • Collinsville, IL
National Provider Identifier
1609811173
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009100 Issued in IL
Legal business name
BELTLINE CHIROPRACTIC LTD
Practice address
414A Beltline Rd
Collinsville, IL 62234-4405
Phone
(618) 581-6448
NPI assigned
Jun 18, 2006
Last updated
Mar 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Dr. Neil Andrew Munhofen, D.C.NPI 1932156486
Title
President
Phone
(618) 581-6448

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 038009100 IL Primary

Addresses

Primary practice location

414A Beltline Rd
Collinsville, IL 62234-4405

Mailing address

414A Beltline Rd
Collinsville, IL 62234-4405
Phone (618) 581-6448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060711000238 IL Practitioner - Chiropractic 6204849458 Reassigns benefits to 1 organization
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
O20040507000566 IL Part B Supplier - Clinic/Group Practice 0143215368 Receives reassigned benefits from 2 practitioners
Practice locations: Collinsville, IL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

414A Belt Line Rd
Collinsville, IL 62234
Phone (618) 343-1100

Practitioners & affiliated clinicians

Practitioners 5

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": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1609811173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414A BELTLINE RD",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622344405",
            "telephone_number": "618-581-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414A BELTLINE RD",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622344405",
            "telephone_number": "618-581-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELTLINE CHIROPRACTIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "MUNHOFEN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-581-6448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collinsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.