Individual provider Active NPI

Nancy Dianne Dearinger, D.C.

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1629024518
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
820 N Orleans St
Suite 345
Chicago, IL 60610-3132
Phone
(312) 467-0678
Fax
(312) 467-0962
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 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

820 N Orleans St
Suite 345
Chicago, IL 60610-3132

Mailing address

820 N Orleans St
Suite 345
Chicago, IL 60610-3132
Phone (312) 467-0678

Other identifiers 1

IdentifierTypeStateIssuer
1617703OtherILBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
038-005791ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Chicago Chiropractor Past Accepting new patients
Wellness Chicago Complementary Medical Centers Past Accepting new patients

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1629024518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N ORLEANS ST",
            "address_2": "SUITE 345",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103132",
            "telephone_number": "312-467-0678",
            "fax_number": "312-467-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N ORLEANS ST",
            "address_2": "SUITE 345",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103132",
            "telephone_number": "312-467-0678",
            "fax_number": "312-467-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEARINGER",
        "first_name": "NANCY",
        "middle_name": "DIANNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1617703",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.