Individual provider Active NPI

Dominick Anton Anco, D.C.

  • Chiropractor
  • Frankfort, IL
National Provider Identifier
1619108396
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011458 Issued in IL
Practice address
27 E Colorado Ave
Frankfort, IL 60423-1385
Phone
(708) 258-9600
NPI assigned
Jul 29, 2009
Last updated
Aug 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011458 IL Primary

Addresses

Primary practice location

27 E Colorado Ave
Frankfort, IL 60423-1385

Mailing address

27 E Colorado Ave
Frankfort, IL 60423-1385
Phone (708) 258-9600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241021002315 SC Practitioner - Chiropractic 2163696733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Verch ChiropracticGroup PAC ID 5991103780, 3 clinicians

Practice addresses (Care Compare)

943 Old Cherokee Rd
Lexington, SC 29072-9042
Phone (803) 356-9315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038011458ILMDChiropractor
5075SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Verch Chiropractic CurrentSince Jul 18, 2024 Accepting new patients
Bigbie Chiropractic Office Chiropractor CurrentSince Jul 18, 2024 Accepting new patients
Christine L. Hoch Enterprises, Inc. Chiropractor PastSince Apr 12, 2013 Accepting new patients

Locations

943 Old Cherokee Rd
Lexington, SC 29072
Phone (803) 356-9315

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1619108396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 E COLORADO AVE",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231385",
            "telephone_number": "708-258-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 E COLORADO AVE",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231385",
            "telephone_number": "708-258-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANCO",
        "first_name": "DOMINICK",
        "middle_name": "ANTON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-29",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.