Individual provider Active NPI

Diana Lynn Gnat, D.C.

  • Chiropractor
  • Plainfield, IL
National Provider Identifier
1629126990
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-008129 Issued in IL
Practice address
14208 S Manassas LN
Plainfield, IL 60544-6070
Phone
(815) 293-3952
Fax
(815) 293-3953
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-008129 IL Primary

Addresses

Primary practice location

14208 S Manassas LN
Plainfield, IL 60544-6070

Mailing address

14208 S Manassas LN
Plainfield, IL 60544-6070
Phone (815) 293-3952

Other identifiers 1

IdentifierTypeStateIssuer
2222583OtherILBCBS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-008129ILMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1629126990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14208 S MANASSAS LN",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605446070",
            "telephone_number": "815-293-3952",
            "fax_number": "815-293-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14208 S MANASSAS LN",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605446070",
            "telephone_number": "815-293-3952",
            "fax_number": "815-293-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GNAT",
        "first_name": "DIANA",
        "middle_name": "LYNN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2222583",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.